Organization Active NPI

Sheela Shah MD P LLC

  • Internal Medicine Physician
  • North Palm Beach, FL
National Provider Identifier
1174762470
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME75721 Issued in FL
Legal business name
SHEELA SHAH MD P LLC
Practice address
649 US Highway 1 Ste 2
North Palm Beach, FL 33408-4616
Phone
(561) 775-6455
NPI assigned
Feb 10, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Sheela R Shah, MD
Title
Sole MBR
Phone
(561) 775-6455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME75721 FL Primary

Addresses

Primary practice location

649 US Highway 1 Ste 2
North Palm Beach, FL 33408-4616

Mailing address

649 US Highway 1 Ste 2
North Palm Beach, FL 33408-4616
Phone (561) 775-6455

Other identifiers 1

IdentifierTypeStateIssuer
263578000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1174762470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 US HIGHWAY 1 STE 2",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084616",
            "telephone_number": "561-775-6455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 US HIGHWAY 1 STE 2",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334084616",
            "telephone_number": "561-775-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHEELA SHAH MD P LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-10",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SHEELA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "561-775-6455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME75721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263578000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.