Active NPI
Pratik Dilip Shah, DO
- Internal Medicine Physician
- Danville, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0116024036
- Practice address
- 142 S Main St
Danville, VA 24541-2922 - Phone
- (434) 799-3890
- NPI assigned
- May 7, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0116024036 | VA | Primary |
Addresses
Primary practice location
142 S Main St
Danville, VA 24541-2922
Mailing address
1202 Deerfield Dr
Reidsville, NC 27320-8353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000
Hospital & facility affiliations
- Moses H. Cone Memorial Hospital, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116024036 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Internal Medicine | Current | Accepting new patients |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Houston County Healthcare Authority | Internal Medicine | Current | Accepting new patients |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Gregory Thompson DO LLC | Current | Accepting new patients | |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Houston County Healthcare Authority | Internal Medicine | Current | Accepting new patients |
| Moses Cone Physician Services, Inc. | Internal Medicine | Current | Accepting new patients |
| Northern Alabama Physicians, LLP | Current | Accepting new patients | |
| Southland Hospitalist at Ozark, PL | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Past | Accepting new patients |
Locations
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1909 Honeysuckle Rd
Ste 2
Dothan, AL 36305
Phone (334) 699-5076
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1118 Ross Clark Cir
Ste 500
Dothan, AL 36301
Phone (334) 794-4159
201 Doctors Dr
Dothan, AL 36301
Phone (334) 794-6611
1817 S Oates St
Dothan, AL 36301
Phone (334) 793-1081
1812 E Main St
Dothan, AL 36301
Phone (334) 793-6573
126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803
300 E Wendover Ave
Fl 4
Greensboro, NC 27401
Phone (336) 663-5038
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Internal Medicine Physician
- High Point, NC
- NPI 1285306852
-
- Neuromusculoskeletal Medicine & OMM Physician
- Dothan, AL
- NPI 1811444177
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Decatur, AL
- NPI 1669618310
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1750608949
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1285783134
-
- Internal Medicine Physician
- Dothan, AL
- NPI 1538597349
-
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
- Hospitalist Physician
- Enterprise, AL
- NPI 1952845711
-
- Hospitalist Physician
- Dothan, AL
- NPI 1992178628
-
- Endocrinology, Diabetes & Metabolism Physician
- Reidsville, NC
- NPI 1780004556
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336348800000",
"number": "1144589466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 DEERFIELD DR",
"city": "REIDSVILLE",
"state": "NC",
"postal_code": "273208353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 S MAIN ST",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245412922",
"telephone_number": "434-799-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "PRATIK",
"middle_name": "DILIP",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-05-07",
"last_updated": "2012-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0116024036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2012; 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.