Individual provider Active NPI

Nehal Shah, M.D.

  • Pediatrics Physician
  • Irving, TX
National Provider Identifier
1194825224
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M4529 Issued in TX
Practice address
3501 N Macarthur Blvd Ste 450
Irving, TX 75062-3651
Phone
(972) 786-0330
Fax
(972) 739-2894
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M4529 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd Ste 450
Irving, TX 75062-3651

Mailing address

3501 N Macarthur Blvd Ste 500
Irving, TX 75062-3675
Phone (972) 256-3700

Other identifiers 2

IdentifierTypeStateIssuer
193519901MedicaidTX
M4529OtherTXTEXAS MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190715001671 TX Practitioner - Pediatric Medicine 0547595407 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Macarthur Medical Center, PLLC Pediatrics CurrentSince Oct 20, 2019 Accepting new patients
Macarthur Medical Center, PLLC Pediatrics CurrentSince Jul 8, 2019 Accepting new patients

Locations

3501 N MacArthur Blvd
Ste 400
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 450
Irving, TX 75062
Phone (972) 594-0100

3501 N MacArthur Blvd
Ste 500
Irving, TX 75062
Phone (972) 786-0330

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1194825224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623675",
            "telephone_number": "972-256-3700",
            "fax_number": "866-630-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 450",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623651",
            "telephone_number": "972-786-0330",
            "fax_number": "972-739-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEHAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M4529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193519901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "M4529",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.