Active NPI
Perini Shah, D.O.
- Family Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2017023058
- Practice address
- 12700 Southfork Rd Ste 215
Saint Louis, MO 63128-3276 - Phone
- (314) 543-5244
- Fax
- (314) 543-5248
- NPI assigned
- Jun 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2014016673 | MO | |
| Family Medicine Physician | 207Q00000X | 2017023058 | MO | Primary |
Addresses
Primary practice location
12700 Southfork Rd Ste 215
Saint Louis, MO 63128-3276
Mailing address
12700 Southfork Rd Ste 215
Saint Louis, MO 63128-3276
Phone (314) 543-5244
Other practice location 1
615 S New Ballas Rd
Family Medicine
Saint Louis, MO 63141-8221
Phone (314) 251-8888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, TX
- 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
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3800 Gaylord Pkwy
Suite 910
Frisco, TX 75034-9419
Phone (469) 800-7560
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Mercy Clinic East Communities | Family Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Family Medicine | Current | Accepting new patients |
| Healthtexas Provider Network | Family Medicine | Past | Accepting new patients |
Locations
9735 Landmark Parkway Dr
Ste 200
Saint Louis, MO 63127
Phone (314) 525-1887
615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
5425 Southfield Ctr
Saint Louis, MO 63123
Phone (314) 543-5258
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3800 Gaylord Pkwy
Ste 910
Frisco, TX 75034
Phone (469) 800-4080
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
Interoperability endpoints
- pshah700379@direct.sw.org
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1851335228
Family Medicine
-
- Family Medicine Physician
- Saint Louis, MO
- NPI 1720635329
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Flower Mound, TX
- NPI 1427054402
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
dba Baylor Scott & White Medical Center - Frisco at PGA Parkway
- General Acute Care Hospital
- Frisco, TX
- NPI 1851108765
-
dba Baylor Institute for Rehabilitation
- Rehabilitation Hospital
- Dallas, TX
- NPI 1538465901
Inpatient rehabilitation facility
-
dba Medical City McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
-
dba Baylor Scott & White the Heart Hospital - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1962504340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144633819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 215",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283276",
"telephone_number": "314-543-5244",
"fax_number": "314-543-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12700 SOUTHFORK RD STE 215",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283276",
"telephone_number": "314-543-5244",
"fax_number": "314-543-5248"
}
],
"practiceLocations": [
{
"address_1": "615 S New Ballas Rd",
"address_2": "Family Medicine",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631418221",
"country_code": "US",
"telephone_number": "314-251-8888",
"fax_number": "314-251-8889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "PERINI",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2014016673",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2017023058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.