NPIMap

Individual provider Active NPI

Nirmal K Shah, M.D.

  • Cardiovascular Disease Physician
  • Frederick, MD
National Provider Identifier
1194728816
Registry record updated Sep 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0057107 Issued in MD
Practice address
180 Thomas Johnson Dr
Ste 202
Frederick, MD 21702-4409
Phone
(301) 631-6877
Fax
(240) 566-7820
NPI assigned
May 27, 2005
Last updated
Sep 7, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X D0057107 MD Primary

Addresses

Primary practice location

180 Thomas Johnson Dr
Ste 202
Frederick, MD 21702-4409

Mailing address

180 Thomas Johnson Drive
Suite 202
Frederick, MD 21704-4550
Phone (301) 631-6877

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20110303000432 MD Practitioner - Cardiovascular Disease (Cardiology) 9032294210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cardiovascular Specialists of Frederick, LLCGroup PAC ID 4082667761, 11 clinicians
Frederick Health Hospital IncGroup PAC ID 0446149256, 127 clinicians

Practice addresses (Care Compare)

180 Thomas Johnson Dr
Suite 202
Frederick, MD 21702-4550
Phone (301) 631-6877

3430 Worthington Blvd
Frederick, MD 21704-7017
Phone (240) 215-6310

501 W 7TH St
Frederick, MD 21701-4586
Phone (240) 215-6310

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
88.82
Promoting interoperability
100
Improvement activities
40
Cost
80.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057107MDMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc CurrentSince Jul 1, 2001 Accepting new patients
Frederick Health Hospital Inc CurrentSince Jul 1, 2001 Accepting new patients
Cardiovascular Specialists of Frederick, LLC CurrentSince Jul 16, 2001 Accepting new patients
Frederick Health Hospital Inc Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

180 Thomas Johnson Dr
Ste 202
Frederick, MD 21702
Phone (301) 631-6877

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: nirmal.shah.p18@direct.csof.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662508800000",
    "number": "1194728816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DRIVE",
            "address_2": "SUITE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217044550",
            "telephone_number": "301-631-6877",
            "fax_number": "240-566-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 THOMAS JOHNSON DR",
            "address_2": "STE 202",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024409",
            "telephone_number": "301-631-6877",
            "fax_number": "240-566-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRMAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0057107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.