Siddharth Rajnikant Shah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

27259 Issued in AL

Practice address

2038 Springdale LN
Tarrant, AL 35217-2028

Phone

(205) 841-7665

Fax

(205) 841-8366

NPI assigned

May 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Sidney Rajnikant Shah Other name

Medicare fee-for-service enrollment

Enrolled in AL

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 1

Specialty

Family Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tarrant Medical PCGroup PAC ID 3375940489, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Prohealth Home Health, LLC Home health agency, Birmingham, AL, CCN 017179

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJAFCD/Endpoint/CJAFCD

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.

• Tarrant Medical PC

  • Family Medicine Physician
  • Tarrant, AL
  • NPI 1568138980

  AL, Family Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Children'S Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1124541438

  AL, Family Medicine

  Medicare reassignment NPD
• Thrivrx, LLC.

  • Internal Medicine Physician
  • Alabaster, AL
  • NPI 1174326169

  AL

  Medicare reassignment NPD
• After Hours Family Medicine Hoover

  • Urgent Care Clinic/Center
  • Birmingham, AL
  • NPI 1104033208

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Prohealth Home Health, LLC

  • Home Health Agency
  • Birmingham, AL
  • NPI 1194324624
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1194770461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 SPRINGDALE LN",
            "city": "TARRANT",
            "state": "AL",
            "postal_code": "352172028",
            "telephone_number": "205-841-7665",
            "fax_number": "205-841-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2038 SPRINGDALE LN",
            "city": "TARRANT",
            "state": "AL",
            "postal_code": "352172028",
            "telephone_number": "205-841-7665",
            "fax_number": "205-841-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SIDDHARTH",
        "middle_name": "RAJNIKANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "27259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "SHAH",
            "middle_name": "RAJNIKANT",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Burns Pharmacy, Inc.
• Joe Burns, PHARMD
• Bobby Donald Maise, RPH
• Pearly Gates
• RDR Corporation
• Tarrant City
• Tarrant Medical PC

• All providers in Tarrant, AL
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.

Verify at the official NPI Registry.