Individual provider Active NPI

Pratik Dilip Shah, DO

  • Internal Medicine Physician
  • Danville, VA
National Provider Identifier
1144589466
Registry record updated May 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0116024036 Issued in VA
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

Updated by the provider on May 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC2 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
I20140820001450 AL Practitioner - Internal Medicine 3870711617 Reassigns benefits to 4 organizations
I20181211003393 NC Practitioner - Internal Medicine 3870711617 Reassigns benefits to 2 organizations

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
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

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 Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0116024036VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Aug 10, 2018 Accepting new patients
Houston County Healthcare Authority Internal Medicine Current Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 1, 2016 Accepting new patients
Gregory Thompson DO LLC CurrentSince Aug 21, 2017 Accepting new patients
Northern Alabama Physicians, LLP CurrentSince May 1, 2016 Accepting new patients
Houston County Healthcare Authority Internal Medicine CurrentSince Jul 1, 2015 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 CurrentSince Sep 24, 2016 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.