Active NPI
Dharika Pareshkumar Shah, DO
- Nephrology Physician
- Middletown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 34.015594
- Practice address
- 200 Medical Center Dr Ste 360
Middletown, OH 45005-5179 - Phone
- (513) 487-5305
- NPI assigned
- Feb 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | 34.015594 | OH | Primary |
| Internal Medicine Physician | 207R00000X | 2019-01633 | NC | |
| Hospitalist Physician | 208M00000X | 2019-01633 | NC |
Addresses
Primary practice location
200 Medical Center Dr Ste 360
Middletown, OH 45005-5179
Mailing address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Other practice location 1
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2972
Other practice location 2
Medical Center Blvd
Winston Salem, NC 27157-3504
Phone (336) 716-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- West Virginia School of Osteopathic Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Medical Ctr Dr
Suite 360
Middletown, OH 45005-5179
Phone (513) 217-5720
830 Thomas More Pkwy
Suite 202
Edgewood, KY 41017-5103
Phone (859) 341-6281
Hospital & facility affiliations
- DaVita Atrium Dialysis
- DaVita Forest Fair Dialysis
- DaVita Loveland Dialysis
- DaVita Eastgate Home Training
- Atrium Medical Center
- West Chester Hospital
- Mercy Health - Fairfield Hospital
- Bethesda North
- Christ Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.015594 | OH | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidney and Hypertension Center Inc | Nephrology | Current | Accepting new patients |
| Dialysis Access Center of Cincinnati, Inc. | Current | Accepting new patients | |
| Dialysis Access Center of Cincinnati, Inc. | Current | Accepting new patients |
Locations
830 Thomas More Pkwy
Ste 202
Ft Mitchell, KY 41017
Phone (606) 341-6281
2123 Auburn Ave
Ste 404
Cincinnati, OH 45219
Phone (513) 241-5630
3219 Clifton Ave
Ste 325
Cincinnati, OH 45220
Phone (513) 861-0800
1210 Hicks Blvd
Fairfield, OH 45014
Phone (513) 939-1120
7335 Yankee Rd
Ste 102
Liberty Township, OH 45044
7335 Yankee Rd
Ste 101
Liberty Township, OH 45044
Phone (513) 755-2524
200 Medical Center Dr
Ste 360
Middletown, OH 45005
Phone (513) 217-5720
4805 Montgomery Rd
Ste 140
Norwood, OH 45212
Phone (513) 487-5305
8040 Princeton Glendale Rd
West Chester, OH 45069
Phone (513) 346-5065
Interoperability endpoints
- dshah375333@direct-prd.stelizabeth.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- dshah438774@direct.uchealth.com
Organizations & group practices 3
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.
-
- Ambulatory Surgical Clinic/Center
- Norwood, OH
- NPI 1427577840
-
- Ambulatory Surgical Clinic/Center
- Liberty Township, OH
- NPI 1568079788
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Middletown, OH
- NPI 1477892453
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Loveland, OH
- NPI 1225549942
Dialysis facility
-
- General Acute Care Hospital
- Franklin, OH
- NPI 1700950060
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1780633289
-
- General Acute Care Hospital
- Fairfield, OH
- NPI 1467552471
-
- General Acute Care Hospital
- West Chester, OH
- NPI 1851549273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1124488580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR STE 360",
"city": "MIDDLETOWN",
"state": "OH",
"postal_code": "450055179",
"telephone_number": "513-487-5305"
}
],
"practiceLocations": [
{
"address_1": "15855 19 Mile Rd",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480383504",
"country_code": "US",
"telephone_number": "586-263-2972",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Medical Center Blvd",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271573504",
"country_code": "US",
"telephone_number": "336-716-2255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "DHARIKA",
"middle_name": "PARESHKUMAR",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-28",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "OH",
"license": "34.015594",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2019-01633",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2019-01633",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.