Active NPI
Mohammad Kamal Shah, MD
- Internal Medicine Physician
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35127471
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35127471 | OH | MD | Internal Medicine Physician |
| 4301084394 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Valley Physicians Inc | Current | Accepting new patients | |
| Mercy Health Physicians Lima Specialty Care LLC | Current | Accepting new patients | |
| Margaret Mary Community Hospital, Inc | Internal Medicine | Current | Accepting new patients |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Ohio, Professional Corporation | Internal Medicine | Current | Accepting new patients |
| Ohio Valley Physicians Inc | Current | 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
- https://fhir-usa.unify.chbase.com/org/threeri-78cadb4b
- mshah866577@direct.bsmhealth.org
- 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.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1043572290
-
- Surgery Physician
- Lima, OH
- NPI 1518589803
-
- General Acute Care Hospital
- Gallup, NM
- NPI 1225002322
-
- Internal Medicine Physician
- Batesville, IN
- NPI 1316118730
-
- Rural Health Clinic/Center
- Eastern, KY
- NPI 1164129599
-
- Internal Medicine Physician
- Alpena, MI
- NPI 1740411461
-
- Hospitalist Physician
- Three Rivers, MI
- NPI 1942585880
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.