Active NPI
Mehul Shah, DO
- Gastroenterology Physician
- Lantana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- R1871
- Practice address
- 1111 Terrace Dr
Lantana, TX 76226-6672 - Phone
- (817) 789-5044
- NPI assigned
- May 22, 2014
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | BP10050128 | TX | |
| Gastroenterology Physician | 207RG0100X | R1871 | TX | Primary |
| Internal Medicine Physician | 207R00000X | OS018939 | PA | |
| Gastroenterology Physician | 207RG0100X | OS018939 | PA | |
| Gastroenterology Physician | 207RG0100X | 9871563 | ID |
Addresses
Primary practice location
1111 Terrace Dr
Lantana, TX 76226-6672
Mailing address
1111 Terrace Dr
Lantana, TX 76226-6672
Phone (817) 789-5044
Other practice location 1
775 Pole Line Rd W Ste 203
Twin Falls, ID 83301-5820
Phone (208) 814-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, ID, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3301 Matlock Rd
Arlington, TX 76015-2908
Phone (682) 509-6200
4441 Long Prairie Rd
Suite 100
Flower Mound, TX 75028-5410
Phone (469) 933-2253
701 10TH St SE
Cedar Rapids, IA 52403-1251
701 10TH St SE
Cedar Rapids, IA 52403-1292
701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328
746 N College Rd
Twin Falls, ID 83301-3486
775 Pole Line Rd W
Twin Falls, ID 83301-5820
801 Pole Line Rd W
Twin Falls, ID 83301-5810
Hospital & facility affiliations
- Medical City Arlington
- St Lukes Magic Valley Medical Center
- Texas Health Presbyterian Hospital Flower Mound
- Medical City Lewisville
- Medical City Denton
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.37 of 100
- Quality
- 68.64
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 24 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 67 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9871563 | ID | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Medical Center | Current | Accepting new patients | |
| Mercy Medical Center | Current | Accepting new patients | |
| Shivrudra PLLC | Gastroenterology | Current | Accepting new patients |
| Dallas Medical Specialists, PLLC | Internal Medicine | Current | Accepting new patients |
| Mercy Medical Center | Current | Accepting new patients | |
| St Luke'S Clinic LLC | Internal Medicine | Current | Accepting new patients |
| St Luke'S Magic Valley Regional Medical Center LTD | Past | Accepting new patients |
Locations
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
746 N College Rd
Ste D
Twin Falls, ID 83301
Phone (208) 814-7230
775 Pole Line Rd W
Ste 203
Twin Falls, ID 83301
Phone (208) 814-8300
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
7777 Forest Ln
Ste C300
Dallas, TX 75230
Phone (972) 566-6000
900 Jerome St
Ste 204
Fort Worth, TX 76104
Phone (817) 885-7827
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BIAIDD/Endpoint/BIAIDD
Organizations & group practices 7
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
- Dallas, TX
- NPI 1508217811
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1841091360
-
- Psychiatry Physician
- Cedar Rapids, IA
- NPI 1700834165
-
- Community/Retail Pharmacy
- Cedar Rapids, IA
- NPI 1114923513
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1669617106
-
- Community/Retail Pharmacy
- Twin Falls, ID
- NPI 1760203921
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arlington, TX
- NPI 1134172406
-
- General Acute Care Hospital
- Denton, TX
- NPI 1306897277
-
- General Acute Care Hospital
- Lewisville, TX
- NPI 1255384533
-
- General Acute Care Hospital
- Flower Mound, TX
- NPI 1902047376
-
- General Acute Care Hospital
- Twin Falls, ID
- NPI 1932154705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1184036378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 TERRACE DR",
"city": "LANTANA",
"state": "TX",
"postal_code": "762266672",
"telephone_number": "817-789-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 TERRACE DR",
"city": "LANTANA",
"state": "TX",
"postal_code": "762266672",
"telephone_number": "817-789-5044"
}
],
"practiceLocations": [
{
"address_1": "775 Pole Line Rd W Ste 203",
"address_purpose": "LOCATION",
"city": "Twin Falls",
"state": "ID",
"postal_code": "833015820",
"country_code": "US",
"telephone_number": "208-814-8300",
"fax_number": "208-933-4909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "MEHUL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-22",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "BP10050128",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "R1871",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS018939",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "PA",
"license": "OS018939",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "ID",
"license": "9871563",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lantana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.
- 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.