Active NPI
Niraj Shah, OT/R
- Occupational Therapist
- Dublin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 009708
- Practice address
- 6099 Riverside Dr
Dublin, OH 43017-2004 - Phone
- (740) 953-1184
- NPI assigned
- Feb 28, 2020
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 009708 | OH | Primary |
Addresses
Primary practice location
6099 Riverside Dr
Dublin, OH 43017-2004
Mailing address
4134 Bryson Cove Cir
Dublin, OH 43016-5020
Phone (614) 397-2543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009708 | Other | OH | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN, MI
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Brighton, MI 48116
Phone (740) 953-1184
110 E Wayne St
Suite 1215
Fort Wayne, IN 46802-2612
Phone (614) 271-2625
6099 Riverside Dr
Suite 207
Dublin, OH 43017-2004
Phone (740) 953-1184
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.97 of 100
- Quality
- 80
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009708 | OH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Therapy LLC | Occupational Therapist | Current | Accepting new patients |
| Advanced Wound Healing LLC | Current | Accepting new patients |
Locations
7927 Nemco Way
Ste 120
Brighton, MI 48116
Phone (740) 953-1184
1515 Bethel Rd
Ste 301
Columbus, OH 43220
Phone (740) 953-1184
6099 Riverside Dr
Ste 207
Dublin, OH 43017
Phone (614) 271-2625
6099 Riverside Dr
Dublin, OH 43017
Phone (740) 953-1184
Organizations & group practices 2
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
- Dublin, OH
- NPI 1619752094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690156800000",
"number": "1174157036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4134 BRYSON COVE CIR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430165020",
"telephone_number": "614-397-2543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6099 RIVERSIDE DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430172004",
"telephone_number": "740-953-1184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIRAJ",
"credential": "OT/R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-28",
"last_updated": "2023-07-24",
"certification_date": "2023-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OH",
"license": "009708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "009708",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.