Chandrakant C Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD038812L Issued in PA

Practice address

23 Walnut Street
Boyertown, PA 19512-1300

Phone

(610) 369-0913

Fax

(610) 367-8418

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Family Pillars Hospice Inc

  • Community Based Hospice Care Agency
  • Bethlehem, PA
  • NPI 1154788461

  Corporate Director, Corporate Officer, Operational/Managerial Control

  CMS ownership

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.

• Pottstown Clinic Company LLC

  • Family Medicine Physician
  • Pottstown, PA
  • NPI 1649341934

  Internal Medicine

  Medicare reassignment NPD
• Compassionate Care Hospice of Northwestern Pennsylvania, LLC

  • Community Based Hospice Care Agency
  • Olyphant, PA
  • NPI 1386647915
  NPD (past)
• James D. Mickle Jr. MD

  • Clinic/Center
  • Boyertown, PA
  • NPI 1003013244
  NPD (past)
• William J. Lien, M.D., P.C.

  • Family Medicine Physician
  • Boyertown, PA
  • NPI 1417910340
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1154376713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 N WALNUT ST",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121467",
            "telephone_number": "610-369-0913",
            "fax_number": "610-369-0917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 WALNUT STREET",
            "city": "BOYERTOWN",
            "state": "PA",
            "postal_code": "195121300",
            "telephone_number": "610-369-0913",
            "fax_number": "610-367-8418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "CHANDRAKANT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD038812L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "000406783",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CBC",
            "identifier": "01227301",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015083320001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007687760006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sacred Ground, LLC
• Dennis J Schank, MD
• Katherine Schenk, MA
• Katie Schlessman, COTA
• Joseph Edward Sekulski, D.C.
• Mariah Elizabeth Steffey, OTD, MSOT, BSHS
• Mariah Lynn Stehle, CRNP
• Alyssa Nicole Stein
• Emma Stone, RDN, LDN, CEDS
• Strouse Counseling and Wellness

• Internal Medicine Physician in Boyertown, PA
• Providers in Boyertown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.