NPIMap

Individual provider Active NPI

Dhara Shah, PA-C

  • Medical Physician Assistant
  • Smithfield, RI
National Provider Identifier
1194475442
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
41 Sanderson Rd Ste 206
Smithfield, RI 02917-2603
Phone
(401) 349-2203
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

41 Sanderson Rd Ste 206
Smithfield, RI 02917-2603

Mailing address

41 Sanderson Rd
Smithfield, RI 02917-2602
Phone (401) 349-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220525001167 RI Practitioner - Physician Assistant 4587042973 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
VMD Primary Providers of Rhode Island PCGroup PAC ID 3072913714, 51 clinicians
Prospect Chartercare Physicians LLCGroup PAC ID 0840416657, 71 clinicians

Practice addresses (Care Compare)

106 Nate Whipple Hwy
Suite 101
Cumberland, RI 02864-1403
Phone (401) 658-2020

1681 Cranston St
Cranston, RI 02920-5000
Phone (401) 944-6889

400 Putnam Pike
Smithfield, RI 02917-2408
Phone (401) 757-6160

Hospital & facility affiliations

  • Amedisys Home Health Care Home health agency, Warwick, RI, CCN 417036
  • Our Lady of Fatima Hospital Hospital, North Providence, RI, CCN 410005
  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Landmark Medical Center Hospital, Woonsocket, RI, CCN 410011
  • Roger Williams Medical Center Hospital, Providence, RI, CCN 410004
  • Rhode Island Hospital Hospital, Providence, RI, CCN 410007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: dhara.shah.1@31278.direct.athenahealth.com
  • Direct secure messaging: dhara.shah.1@9000.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1194475442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172602",
            "telephone_number": "401-349-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 SANDERSON RD STE 206",
            "city": "SMITHFIELD",
            "state": "RI",
            "postal_code": "029172603",
            "telephone_number": "401-349-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHARA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, RI

Sources for this page

Verify at the official NPI Registry.