Individual provider Active NPI

Anjana Hemant Shah, MD

  • Internal Medicine Physician
  • Beavercreek, OH
National Provider Identifier
1174563282
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-06-5984-S Issued in OH
Practice address
722 N. Fairfield Rd.
Beavercreek, OH 45434
Phone
(937) 208-7000
Fax
(937) 208-7010
NPI assigned
Jun 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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 35-06-5984-S OH Primary

Addresses

Primary practice location

722 N. Fairfield Rd.
Beavercreek, OH 45434

Mailing address

722 N. Fairfield Rd.
Beavercreek, OH 45434
Phone (937) 208-7000

Other identifiers 1

IdentifierTypeStateIssuer
0952796MedicaidOH

Other names 1

  • Ms. Anjana Awralal Patel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20100208000497 OH Practitioner - Internal Medicine 1456494863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mvhe IncGroup PAC ID 9537066584, 399 clinicians

Practice addresses (Care Compare)

2400 Lakeview Dr
Suite 100
Beavercreek, OH 45431-2581
Phone (937) 429-4369

2451 Wayne Ave
Dayton, OH 45420-1893
Phone (937) 252-1831

Hospital & facility affiliations

  • Fidelity Health Care Home health agency, Moraine, OH, CCN 367160
  • Kettering Homecare Home health agency, Kettering, OH, CCN 367778
  • Miami Valley Hospital Hospital, Dayton, OH, CCN 360051
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • Kettering Health Main Campus Hospital, Kettering, OH, CCN 360079

Merit-based Incentive Payment System (MIPS)

Final score
87.23 of 100Reported as group
Quality
83.64
Promoting interoperability
100
Improvement activities
40
Cost
73.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mvhe Inc Internal Medicine Current Accepting new patients
Mvhe Inc Internal Medicine CurrentSince Dec 1, 1993 Accepting new patients
Mvhe, Inc Internal Medicine CurrentSince Dec 1, 1993 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mvhe Inc Internal Medicine Past Accepting new patients

Locations

2400 Lakeview Dr
Ste 100
Beavercreek, OH 45431
Phone (937) 429-4369

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187

Organizations & group practices 5

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 6

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414022400000",
    "number": "1174563282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 N. FAIRFIELD RD.",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45434",
            "telephone_number": "937-208-7000",
            "fax_number": "937-208-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 N. FAIRFIELD RD.",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45434",
            "telephone_number": "937-208-7000",
            "fax_number": "937-208-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANJANA",
        "middle_name": "HEMANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2014-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-06-5984-S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0952796",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANJANA",
            "last_name": "PATEL",
            "middle_name": "AWRALAL",
            "prefix": "MS.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

Verify at the official NPI Registry.