Individual provider Active NPI

Mohammad Kamal Shah, MD

  • Internal Medicine Physician
  • Lima, OH
National Provider Identifier
1174792923
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35127471 Issued in OH
Practice address
730 W Market St
Lima, OH 45801-4602
Phone
(419) 226-4310
Fax
(419) 226-4315
NPI assigned
Feb 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301084394 MI
Pediatrics Physician 208000000X 4301084394 MI
Internal Medicine Physician 207R00000X 35127471 OH Primary

Addresses

Primary practice location

730 W Market St
Lima, OH 45801-4602

Mailing address

PO Box 639982
Cincinnati, OH 45263-9982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151222001111 OH Practitioner - Internal Medicine 4486726593 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35127471OHMDInternal Medicine Physician
4301084394MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC CurrentSince Aug 12, 2021 Accepting new patients
Margaret Mary Community Hospital, Inc Internal Medicine Current Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Nov 10, 2014 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Nov 16, 2015 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Jan 1, 2024 Accepting new patients
Indigo Hospital Medicine - Alpena, PLC Internal Medicine Past Accepting new patients
Three Rivers Hospitalists PLLC Past Accepting new patients

Locations

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/threeri-78cadb4b
  • Direct secure messaging: mshah866577@direct.bsmhealth.org
  • Direct secure messaging: mohammad.shah@mmhealth.cernerdirect.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1174792923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639982",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452639982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 W MARKET ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014602",
            "telephone_number": "419-226-4310",
            "fax_number": "419-226-4315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MOHAMMAD",
        "middle_name": "KAMAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-26",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301084394",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301084394",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35127471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.