Individual provider Active NPI

Bharati R Shah, MD

  • General Practice Physician
  • Thiells, NY
National Provider Identifier
1205045309
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
NY115423 Issued in NY
Practice address
9 Wilbur Rd
Hudson Valley Ddso
Thiells, NY 10984-0470
Phone
(845) 947-6000
Fax
(845) 947-6008
NPI assigned
May 22, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics Physician 2080P0006X NY115423 NY
General Practice Physician 208D00000X NY115423 NY Primary

Addresses

Primary practice location

9 Wilbur Rd
Hudson Valley Ddso
Thiells, NY 10984-0470

Mailing address

9 Wilbur Rd
Hudson Valley Ddso
Thiells, NY 10984-0470
Phone (845) 947-6328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
115423NYMDSocial Worker
NY115423NYMDDevelopmental - Behavioral Pediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1205045309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 WILBUR RD",
            "address_2": "HUDSON VALLEY DDSO",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109840470",
            "telephone_number": "845-947-6328",
            "fax_number": "845-947-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WILBUR RD",
            "address_2": "HUDSON VALLEY DDSO",
            "city": "THIELLS",
            "state": "NY",
            "postal_code": "109840470",
            "telephone_number": "845-947-6000",
            "fax_number": "845-947-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHARATI",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NY",
            "license": "NY115423",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "NY115423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thiells, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.