Individual provider Active NPI

Palak J. Shah, MD

  • Internal Medicine Physician
  • Marietta, OH
National Provider Identifier
1124514039
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.142809 Issued in OH
Practice address
401 Matthew St
Marietta, OH 45750-1635
Phone
(740) 374-7700
NPI assigned
Jul 3, 2018
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 35.142809 OH
Internal Medicine Physician 207R00000X 30937 WV
Internal Medicine Physician 207R00000X 35.142809 OH Primary
Hospitalist Physician 208M00000X 35.142809 OH
Hospitalist Physician 208M00000X 30937 WV

Addresses

Primary practice location

401 Matthew St
Marietta, OH 45750-1635

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

314 S Wells St
Sistersville, WV 26175-1098
Phone (304) 652-2611

Other practice location 2

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 374-7700

Other practice location 3

3545 Lincoln Way E Ste B
Massillon, OH 44646-8624
Phone (513) 834-7063

Other practice location 4

324 Pike St
Marietta, OH 45750-3323
Phone (833) 510-4357

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address hospital.provider@mmhs.directaddress.net
Direct Messaging Address hospital.provider@mmhs.directaddress.net
Direct Messaging Address hospital.provider@mmhs.directaddress.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210726002951 OH Practitioner - Internal MedicinePractitioner - Hospitalist 7012265440 Reassigns benefits to 3 organizations
I20220504000112 WV Practitioner - HospitalistPractitioner - Internal Medicine 7012265440 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1623

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30937WVMDInternal Medicine Physician
35.142809OHMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MHC Physicians Inc Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital Internal Medicine CurrentSince Jan 1, 2022 Accepting new patients
Brightview, LLC Addiction Medicine CurrentSince Nov 14, 2022 Accepting new patients
Selby General Hospital CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital CurrentSince Jan 1, 2022 Accepting new patients
Brightview LLC Addiction Medicine CurrentSince Apr 27, 2023 Accepting new patients
Marietta Memorial Hospital of Tyler County Inc CurrentSince Jan 1, 2026 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients
Camden-Clark Physician Corporation Past Accepting new patients

Locations

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

324 Pike St
Marietta, OH 45750
Phone (304) 374-4540

400 Matthew St
Ste 101
Marietta, OH 45750
Phone (740) 568-4150

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 374-3526

701 Hildreth Ln
Marietta, OH 45750
Phone (740) 371-7194

3545 Lincoln Way E
Ste B
Massillon, OH 44646
Phone 3308308740 ext. 312

800 Garfield Ave
Rm G102
Parkersburg, WV 26101
Phone (304) 424-4575

314 S Wells St
Sistersville, WV 26175
Phone (304) 652-2399

424 Highland Ave
Williamstown, WV 26187
Phone (304) 375-4656

Interoperability endpoints

  • Direct secure messaging: hospital.provider@mmhs.medicity.net

Organizations & group practices 12

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

Hospital & facility affiliations 3

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": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1124514039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501635",
            "telephone_number": "740-374-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "314 S Wells St",
            "address_purpose": "LOCATION",
            "city": "Sistersville",
            "state": "WV",
            "postal_code": "261751098",
            "country_code": "US",
            "telephone_number": "304-652-2611",
            "fax_number": "304-652-1448",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501323",
            "country_code": "US",
            "telephone_number": "740-374-7700",
            "fax_number": "740-374-7701",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3545 Lincoln Way E Ste B",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446468624",
            "country_code": "US",
            "telephone_number": "513-834-7063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "324 Pike St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457503323",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PALAK",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-03",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "OH",
            "license": "35.142809",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "30937",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.142809",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.142809",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WV",
            "license": "30937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hospital.provider@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "314 S Wells St",
            "city": "Sistersville",
            "state": "WV",
            "country_code": "US",
            "postal_code": "261751098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hospital.provider@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hospital.provider@mmhs.directaddress.net",
            "affiliation": "N",
            "address_1": "1106 Colegate Dr",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.