Individual provider Active NPI

Neil Ramesh Shah, M.D.

  • Internal Medicine Physician
  • Stanford, CA
National Provider Identifier
1134485006
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A171527 Issued in CA
Practice address
300 Pasteur Dr RM H3143
Stanford, CA 94305-2298
Phone
(650) 725-3098
NPI assigned
Apr 5, 2012
Last updated
Apr 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME122212 FL
Internal Medicine Physician 207R00000X A171527 CA Primary

Addresses

Primary practice location

300 Pasteur Dr RM H3143
Stanford, CA 94305-2298

Mailing address

300 Pasteur Dr RM H3143
Stanford, CA 94305-2298
Phone (650) 725-3098

Other practice location 1

6785 Erica LN
Sarasota, FL 34241-9298
Phone (941) 780-4595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200917000534 GA Practitioner - Internal Medicine 9739407941 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Miami, LM Miller School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Associates of Columbus, P.C.Group PAC ID 0244221968, 4 clinicians

Practice addresses (Care Compare)

2424 Warm Springs Rd
Suite a
Columbus, GA 31904-6863
Phone (706) 327-6296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A171527CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Apr 15, 2023 Accepting new patients
North Atlanta Professional Services LLC CurrentSince Nov 24, 2020 Accepting new patients
Phoebe Physician Group, Inc CurrentSince Aug 1, 2020 Accepting new patients
Statesboro Hma Physician Management LLC CurrentSince Nov 6, 2022 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Nephrology Associates of Columbus, P.C. CurrentSince Oct 1, 2023 Accepting new patients

Locations

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

500 W 3rd Ave
Ste 101
Albany, GA 31701
Phone (229) 312-5802

126 US Highway 280 W
Americus, GA 31719
Phone (229) 924-6011

151 Mayo St
Ste B
Americus, GA 31709
Phone (229) 928-2900

2424 Warm Springs Rd
Ste A
Columbus, GA 31904
Phone (706) 327-6296

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

1000 Johnson Fy Rd NE
Sandy Springs, GA 30342
Phone (404) 851-1000

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

Organizations & group practices 6

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": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1134485006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H3143",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052298",
            "telephone_number": "650-725-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR RM H3143",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052298",
            "telephone_number": "650-725-3098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6785 ERICA LN",
            "address_purpose": "LOCATION",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342419298",
            "country_code": "US",
            "telephone_number": "941-780-4595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEIL",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-05",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME122212",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A171527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.