Neeraj B. Shah, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

N1889 Issued in TX

Practice address

305 Ferguson Dr
Austin, TX 78753-3006

Phone

(512) 814-5215

Fax

(512) 628-3277

NPI assigned

Mar 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 4

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hwmnshah@yourcarecommunity.org
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Austin Regional Clinic, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1821157579

  Internal Medicine

  Medicare reassignment NPD
• Curana Health Medical Group LLC

  • Internal Medicine Physician
  • Austin, TX
  • NPI 1255640678
  Medicare reassignment NPD
• Hephzibah Visiting Clinicians

  • Family Nurse Practitioner
  • Desoto, TX
  • NPI 1083101075
  Medicare reassignment NPD
• Medinet Healthcare Agency Inc

  • Family Medicine Physician
  • Addison, TX
  • NPI 1942671573
  Medicare reassignment NPD
• Austin Regional Clinic, PA

  • Durable Medical Equipment & Medical Supplies
  • Kyle, TX
  • NPI 1235746413
  NPD
• Elite ER, PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Houston, TX
  • NPI 1770815987
  NPD (past)
• Hebron Physical Medicine PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Carrollton, TX
  • NPI 1144760364

  Internal Medicine

  NPD (past)
• Hogan Chiropractic PLLC

  • Chiropractor
  • Sugar Land, TX
  • NPI 1811214828
  NPD (past)
• Regenerate PLLC

  • Physical Medicine & Rehabilitation Physician
  • Dripping Springs, TX
  • NPI 1902457716
  NPD (past)
• Waco Wound Care, PLLC

  • Family Medicine Physician
  • Waco, TX
  • NPI 1548057425
  NPD (past)

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1205968757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 E RIVERSIDE DR APT 74214",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787410068",
            "telephone_number": "512-814-5215",
            "fax_number": "512-628-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 FERGUSON DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787533006",
            "telephone_number": "512-814-5215",
            "fax_number": "512-628-3277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W 38th St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787051011",
            "country_code": "US",
            "telephone_number": "512-324-1864",
            "fax_number": "512-419-9016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEERAJ",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A96977",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N1889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209495506",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209495505",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209495504",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209495503",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Komal Shah, OD
• Koonj Ashvin Shah, MD
• Kshitij Shah, MD
• Leah Anne Shah, OTR
• Monica Rajesh Shah, MD
• Neha Surekh Shah, DO
• Neil Nayan Shah, M.D.
• Prati Kadakia Shah, M.D.
• Priya Shah
• Radhika Ashit Shah, MD

• Internal Medicine Physician in Austin, TX
• Providers in Austin, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.