Individual provider Active NPI

Ajita R Shah, M.D.

  • Emergency Medicine Physician
  • Austin, TX
National Provider Identifier
1124375761
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
P7205 Issued in TX
Practice address
900 West Ave
Austin, TX 78701-2210
Phone
(512) 947-1897
Fax
(512) 487-5376
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD61001277 WA
Emergency Medicine Physician 207P00000X P7205 TX Primary

Addresses

Primary practice location

900 West Ave
Austin, TX 78701-2210

Mailing address

900 West Ave
Austin, TX 78701-2210
Phone (512) 947-1897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, WA, ID4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20131126000395 TX Practitioner - Emergency Medicine 0244466068 Reassigns benefits to 4 organizations
I20180626001659 AZ Practitioner - Emergency Medicine 0244466068 Reassigns benefits to 2 organizations
I20200518001568 WA Practitioner - Emergency Medicine 0244466068 Reassigns benefits to 6 organizations
I20220517002568 ID Practitioner - Emergency Medicine 0244466068 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Professional Services PCGroup PAC ID 6901707272, 107 clinicians
Highline Emergency Physicians PLLCGroup PAC ID 0547436313, 19 clinicians
Spokane Emergency Care Physicians PLLCGroup PAC ID 0143554600, 68 clinicians

Practice addresses (Care Compare)

1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (954) 939-5000

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 431-5314

800 W 5TH Ave
Spokane, WA 99204-2803
Phone (509) 473-7101

Hospital & facility affiliations

  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Banner Estrella Medical Center Hospital, Phoenix, AZ, CCN 030115
  • Highline Medical Center Hospital, Burien, WA, CCN 500011
  • St David'S South Austin Medical Center Hospital, Austin, TX, CCN 450713

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P7205TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Washington PLLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Professional Services PC Emergency Medicine Current Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince May 16, 2018 Accepting new patients
Longhorn Emergency Medical Associates PA Emergency Medicine CurrentSince Feb 15, 2015 Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 21, 2022 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Feb 12, 2021 Accepting new patients
Round Table Physicians Group PLLC CurrentSince Mar 1, 2020 Accepting new patients
McAllen Emergency Medicine Associates PA Emergency Medicine CurrentSince Feb 5, 2015 Accepting new patients
Cep America LLC Emergency Medicine Current Accepting new patients
Highline Emergency Physicians PLLC Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Incyte Pathology, PLLC Current Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Feb 9, 2020 Accepting new patients
Kootenai Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Emergency Professional Services PC Emergency Medicine CurrentSince May 16, 2018 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince Jul 1, 2018 Accepting new patients
Kootenai Health, Inc. Emergency Medicine Current Accepting new patients
Spokane Emergency Care Physicians PLLC Emergency Medicine CurrentSince Jan 4, 2025 Accepting new patients
Round Table Specialist Group, PLLC Emergency Medicine Current Accepting new patients
Kootenai Health, Inc. CurrentSince Apr 21, 2022 Accepting new patients
Northwest Observation Associates PC CurrentSince Feb 17, 2021 Accepting new patients

Locations (25 of 28)

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

37000 N Gantzel Rd
San Tan Valley, AZ 85140
Phone (480) 394-4000

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

1300 E Mullan Ave
Ste 700
Post Falls, ID 83854
Phone (208) 625-5564

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

5701 W Slaughter Ln
Bldg G
Austin, TX 78749
Phone (512) 651-5787

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

11103 Westheimer Rd
Houston, TX 77042
Phone (832) 708-3651

1014 Wirt Rd
Ste 200
Houston, TX 77055
Phone (713) 527-5000

800 W Central Texas Expy
Killeen, TX 76541
Phone (254) 220-4117

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

1900 S D St
McAllen, TX 78503
Phone (956) 994-2000

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

3810 Plaza Way
Kennewick, WA 99338
Phone (509) 221-7000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

8202 N Division St
Spokane, WA 99208
Phone (509) 473-3333

Organizations & group practices 23

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 23

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1124375761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WEST AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012210",
            "telephone_number": "512-947-1897",
            "fax_number": "512-487-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WEST AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787012210",
            "telephone_number": "512-947-1897",
            "fax_number": "512-487-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AJITA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61001277",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "P7205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.