Active NPI
Pooja Manesh Shah, MD
- Student in an Organized Health Care Education/Training Program
- Chapel Hill, NC
National Provider Identifier
1154065308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 100 Eastowne Dr
Chapel Hill, NC 27514-2286 - Phone
- (984) 974-4462
- Fax
- (919) 843-9355
- NPI assigned
- Apr 25, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | Primary |
Addresses
Primary practice location
100 Eastowne Dr
Chapel Hill, NC 27514-2286
Mailing address
101 Manning Dr RM 1017
Chapel Hill, NC 27514-4220
Phone (919) 966-1216
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220519002362 | NC | Order and Referring Only - Internal Medicine | 6204213853 |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Wake Forest University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Duke Health Integrated Practice Inc
Practice addresses (Care Compare)
40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111
Hospital & facility affiliations
- Duke University Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- pshah871236@direct.unc.nchie.net
- pshah413564@directhisp.wakemed.org
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- Raleigh, NC
- NPI 1205225646
-
- Rehabilitation Hospital Unit
- Durham, NC
- NPI 1538166061
-
- General Acute Care Hospital
- Durham, NC
- NPI 1992703540
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652140800000",
"number": "1154065308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MANNING DR RM 1017",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275144220",
"telephone_number": "919-966-1216",
"fax_number": "919-843-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 EASTOWNE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275142286",
"telephone_number": "984-974-4462",
"fax_number": "919-843-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "POOJA",
"middle_name": "MANESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-25",
"last_updated": "2022-05-10",
"certification_date": "2022-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.