Individual provider Active NPI

Dharika Pareshkumar Shah, DO

  • Nephrology Physician
  • Middletown, OH
National Provider Identifier
1124488580
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
34.015594 Issued in OH
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

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190910000234 NC Practitioner - Hospitalist 9133411267
I20220825003481 OH Practitioner - NephrologyPractitioner - Internal Medicine 9133411267 Reassigns benefits to 3 organizations
I20220926000183 KY Practitioner - NephrologyPractitioner - Internal Medicine 9133411267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney and Hypertension Center IncGroup PAC ID 9830099985, 47 clinicians

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 Dialysis facility, Middletown, OH, CCN 362795
  • DaVita Forest Fair Dialysis Dialysis facility, Cincinnati, OH, CCN 362734
  • DaVita Loveland Dialysis Dialysis facility, Loveland, OH, CCN 362872
  • DaVita Eastgate Home Training Dialysis facility, Cincinnati, OH, CCN 362702
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • West Chester Hospital Hospital, West Chester, OH, CCN 360354
  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Christ Hospital Hospital, Cincinnati, OH, CCN 360163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015594OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Center Inc Nephrology CurrentSince Aug 1, 2022 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Jan 20, 2025 Accepting new patients
Dialysis Access Center of Cincinnati, Inc. CurrentSince Jan 20, 2025 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

  • Direct secure messaging: dshah375333@direct-prd.stelizabeth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.