Active NPI
Radhika Shah, FNP-BC
- Primary Care Nurse Practitioner
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704279608NSA2213H
- Practice address
- 500 Kirts Blvd Ste 100
Troy, MI 48084-4135 - Phone
- (248) 824-6060
- Fax
- (248) 686-0772
- NPI assigned
- Jan 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704279608NSA2213H | MI | Primary |
Addresses
Primary practice location
500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Mailing address
PO Box 639295 Dept 93394
Cincinnati, OH 45263-9295
Phone (484) 346-1692
Other practice location 1
2833 Briarwood Dr
Troy, MI 48085-1153
Phone (248) 763-3993
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
801 W Big Beaver Rd
Suite 300
Troy, MI 48084-4725
Phone (248) 515-4735
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704279608NSA2213H | MI | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Post Acute Physician Care PC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
801 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 658-8424
500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 5
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
- West Bloomfield, MI
- NPI 1841076031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679011200000",
"number": "1184338535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 639295 DEPT 93394",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452639295",
"telephone_number": "484-346-1692",
"fax_number": "855-618-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 KIRTS BLVD STE 100",
"city": "TROY",
"state": "MI",
"postal_code": "480844135",
"telephone_number": "248-824-6060",
"fax_number": "248-686-0772"
}
],
"practiceLocations": [
{
"address_1": "2833 Briarwood Dr",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "MI",
"postal_code": "480851153",
"country_code": "US",
"telephone_number": "248-763-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "RADHIKA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-10",
"last_updated": "2023-03-17",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704279608NSA2213H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2023; 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.