Active NPI
Amit J Shah, M.D.
- Allergy & Immunology Physician
- Festus, MO
National Provider Identifier
1134246770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 2013038956
- Practice address
- 1500 Calvary Church Rd
Festus, MO 63028-4125 - Phone
- (636) 933-2900
- NPI assigned
- Mar 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2013038956 | MO | |
| Allergy & Immunology Physician | 207K00000X | 2013038956 | MO | Primary |
Addresses
Primary practice location
1500 Calvary Church Rd
Festus, MO 63028-4125
Mailing address
1500 Calvary Church Rd
Festus, MO 63028-4125
Phone (636) 933-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134246770 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Internal Medicine | Past | Accepting new patients |
| Granger Medical Clinic PC | Past | Accepting new patients | |
| Grove Inpatient Services | Internal Medicine | Past | Accepting new patients |
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.
-
- Medical Specialty Clinic/Center
- Sandy, UT
- NPI 1871320028
-
- Internal Medicine Physician
- Willingboro, NJ
- NPI 1073642542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456876800000",
"number": "1134246770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 CALVARY CHURCH RD",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284125",
"telephone_number": "636-933-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 CALVARY CHURCH RD",
"city": "FESTUS",
"state": "MO",
"postal_code": "630284125",
"telephone_number": "636-933-2900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "AMIT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-26",
"last_updated": "2016-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2013038956",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MO",
"license": "2013038956",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134246770",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.