Individual provider Active NPI

Mehul Shah, DO

  • Gastroenterology Physician
  • Lantana, TX
National Provider Identifier
1184036378
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
R1871 Issued in TX
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

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20231222001738 TX Practitioner - GastroenterologyPractitioner - Internal Medicine 4880986793 Reassigns benefits to 2 organizations
I20251023004852 ID Practitioner - Gastroenterology 4880986793 Reassigns benefits to 1 organization
I20251114002255 IA Practitioner - Gastroenterology 4880986793 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dallas Medical Specialists, PLLCGroup PAC ID 3072895788, 86 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians
St Lukes Clinic LLCGroup PAC ID 1052217478, 313 clinicians

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 Hospital, Arlington, TX, CCN 450675
  • St Lukes Magic Valley Medical Center Hospital, Twin Falls, ID, CCN 130002
  • Texas Health Presbyterian Hospital Flower Mound Hospital, Flower Mound, TX, CCN 670068
  • Medical City Lewisville Hospital, Lewisville, TX, CCN 450669
  • Medical City Denton Hospital, Denton, TX, CCN 450634

Merit-based Incentive Payment System (MIPS)

Final score
82.37 of 100Reported as group
Quality
68.64
Promoting interoperability
99
Improvement activities
40
Cost
73.42

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy24
Upper gastrointestinal (GI) endoscopy for acid reflux67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9871563IDMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Sep 1, 2025 Accepting new patients
Shivrudra PLLC Gastroenterology CurrentSince Mar 21, 2025 Accepting new patients
Dallas Medical Specialists, PLLC Internal Medicine CurrentSince Dec 1, 2023 Accepting new patients
Mercy Medical Center Current Accepting new patients
St Luke'S Clinic LLC Internal Medicine CurrentSince Oct 8, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.