Individual provider Active NPI

Manisha Jay Shah, MD

  • Cardiovascular Disease Physician
  • Sunnyside, WA
National Provider Identifier
1215012000
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD61345543 Issued in WA
Practice address
1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone
(509) 837-1500
Fax
(509) 837-4908
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 81548 MN
Cardiovascular Disease Physician 207RC0000X J8767 TX
Cardiovascular Disease Physician 207RC0000X 0101271026 VA
Cardiovascular Disease Physician 207RC0000X 62629 TN
Cardiovascular Disease Physician 207RC0000X CDR.0003889 CO
Cardiovascular Disease Physician 207RC0000X MD61345543 WA Primary
Cardiovascular Disease Physician 207RC0000X MD-56384 IA
Cardiovascular Disease Physician 207RC0000X MD27359 ME
Cardiovascular Disease Physician 207RC0000X 2475-320 WI
Cardiovascular Disease Physician 207RC0000X ME169276 FL

Addresses

Primary practice location

1016 Tacoma Ave
Sunnyside, WA 98944-2263

Mailing address

6717 Clear Springs Cir
Garland, TX 75044-2826
Phone (940) 765-8484

Other practice location 1

194 E Main St
Fort Kent, ME 04743-1428
Phone (303) 390-1940

Other practice location 2

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (303) 390-1940

Other practice location 3

502 W 4th Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

Other practice location 4

18797 Alberta St
Oneida, TN 37841-2127
Phone (303) 390-1940

Other practice location 5

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (303) 390-1940

Other practice location 6

1111 11th St
Hawarden, IA 51023-1903
Phone (303) 390-1940

Other practice location 7

301 Riverview Ave Ste 700
Norfolk, VA 23510-1065
Phone (757) 252-9365

Other practice location 8

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Other practice location 9

333 E 2nd St
Richland Center, WI 53581-1914
Phone (303) 390-1940

Other practice location 10

3537 S I 35 E Ste 220
Denton, TX 76210-6813
Phone (972) 765-8484

Other practice location 11

1311 N Mildred Rd
Cortez, CO 81321-2231
Phone (303) 390-1940

Other practice location 12

800 S Fillmore St
Osceola, IA 50213-1669
Phone (303) 390-1940

Other practice location 13

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

Other practice location 14

1720 Central Ave E Ste A
Hampton, IA 50441-1867
Phone (303) 390-1940

Other practice location 15

939 Caroline St
Port Angeles, WA 98362-3909
Phone (303) 390-1940

Other practice location 16

20 Hartford St
Houlton, ME 04730-1891
Phone (303) 390-1940

Other practice location 17

2100 NW 35th Avenue Rd
Ocala, FL 34475-4630
Phone (352) 280-7400

Other identifiers 1

IdentifierTypeStateIssuer
2259012MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IA, WI, WA, ME, VA, CO, MI, FL, MN, OH, TN12 enrollments
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 12

Enrollment IDStateProvider typePAC IDDetails
I20120518000074 TX Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517120124 Reassigns benefits to 7 organizations
I20120831000645 IA Practitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 1 organization
I20230208001789 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517120124 Reassigns benefits to 17 organizations
I20230908003127 WA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 3 organizations
I20230915001501 ME Practitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 2 organizations
I20240202000917 VA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517120124 Reassigns benefits to 2 organizations
I20240716000862 CO Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 2 organizations
I20241001000671 MI Practitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 7 organizations
I20250103000999 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7517120124 Reassigns benefits to 1 organization
I20260220001283 MN Practitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 2 organizations
I20260224000352 OH Practitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 1 organization
I20260224003518 TN Practitioner - Cardiovascular Disease (Cardiology) 7517120124 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rural Physicians Group-Pannu PLLCGroup PAC ID 0345467486, shared by 2 NPIs, 141 clinicians
Sunnyside Community Hospital AssociationGroup PAC ID 1658280896, 57 clinicians
Villages Regional Hospital Physician Services LLCGroup PAC ID 0244688893, 198 clinicians
The Aroostook Medical CenterGroup PAC ID 1153233663, 117 clinicians
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
SHC Medical Center ToppenishGroup PAC ID 4082980065, 43 clinicians
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians

Practice addresses (Care Compare)

1008 Minnequa Ave
Pueblo, CO 81004-3733
Phone (719) 560-4000

1016 Tacoma Ave
Sunnyside, WA 98944-2263
Phone (509) 837-1500

10435 SE 170TH PL
Summerfield, FL 34491-8998
Phone (352) 255-3615

1111 11TH St
Hawarden, IA 51023-1903
Phone (712) 551-3100

140 Academy St
Presque Isle, ME 04769-3102

146 Academy St
Presque Isle, ME 04769-3102

1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151

18797 Alberta St
Oneida, TN 37841-2127
Phone (423) 569-8521

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone (303) 390-1926

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

197 E Main St Upper Level
Northern Light Ear Nose and Throat Care NMM
Fort Kent, ME 04743-1409
Phone (207) 834-1573

210 9TH St SE
Rochester, MN 55904-6425
Phone (507) 288-3443

2100 NW 35TH Ave Rd
Ocala, FL 34475-4630
Phone (352) 870-7400

333 E 2ND St
Richland Center, WI 53581-1914
Phone (608) 647-6321

401 N 11TH St
Richmond, VA 23219-1914
Phone (804) 828-8737

502 W 4TH Ave
Toppenish, WA 98948-1616
Phone (509) 865-3105

618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 443-3311

620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000

668 Hospital Rd
Suite 300
Tappahannock, VA 22560-5000
Phone (804) 443-6245

835 Sweitzer St
Greenville, OH 45331-1007
Phone (937) 548-1141

939 Caroline St
Port Angeles, WA 98362-3909
Phone (360) 417-7000

W180N8085 Town Hall Rd
FL 3
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000

Hospital & facility affiliations

  • Northern Light a R Gould Hospital Hospital, Presque Isle, ME, CCN 200018
  • Northern Maine Medical Center Hospital, Fort Kent, ME, CCN 201317
  • The Heart Hospital Baylor Denton Hospital, Denton, TX, CCN 450893
  • Baylor Scott & White the Heart Hospital Plano Hospital, Plano, TX, CCN 670025
  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME169276FLMDCardiovascular Disease Physician
MD-56384IAMDCardiovascular Disease Physician
81548MNMDCardiovascular Disease Physician
62629TNMDCardiovascular Disease Physician
0101271026VAMDCardiovascular Disease Physician
MD61345543WAMDCardiovascular Disease Physician

Practice roles (60 of 67)

OrganizationSpecialtyStatusNew patients
Aspirus Iron River Hospital & Clinics, Inc. Current Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis Internal Medicine CurrentSince Mar 1, 2023 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Southwest Health System, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Aspirus Keweenaw CurrentSince Nov 1, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince Jan 17, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC Cardiovascular Disease CurrentSince Nov 10, 2024 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Hemphill County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Dewitt Medical District Family Medicine CurrentSince Apr 1, 2024 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family Medicine CurrentSince May 3, 2022 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 25, 2023 Accepting new patients
Sentara Medical Group Family Medicine CurrentSince Dec 19, 2023 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Hemphill County Hospital District CurrentSince Jan 1, 2024 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. Family Medicine CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Feb 10, 2026 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. CurrentSince Feb 22, 2023 Accepting new patients
SHC Medical Center Toppenish Current Accepting new patients
Manisha Shah MD PA Cardiovascular Disease CurrentSince Jul 30, 2014 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Medical Group, Inc. Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Dewitt Medical District Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Internal Medicine CurrentSince Jan 17, 2023 Accepting new patients
Rural Physicians Group-Pannu PLLC Family Medicine CurrentSince Jan 13, 2026 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Family Medicine Current Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Feb 23, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Sunnyside Community Hospital Association Family Medicine CurrentSince Jul 26, 2023 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 25, 2023 Accepting new patients
Texas Heart Hospital of the Southwest LLC CurrentSince Nov 1, 2019 Accepting new patients
Morgan County Georgia Hospital Authority Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Canadian Family Physicians, PLLC Current Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Family Medicine Current Accepting new patients
Aspirus Keweenaw CurrentSince Nov 1, 2024 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 22, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Southwest Health System Inc Current Accepting new patients
Southwest Health System, Inc. CurrentSince Jun 3, 2024 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Mar 19, 2025 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Texas Heart Hospital of the Southwest LLP CurrentSince Nov 1, 2019 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Dewitt Medical District CurrentSince Apr 1, 2024 Accepting new patients

Locations (25 of 65)

520 Rose Ln
Wickenburg, AZ 85390
Phone (928) 666-1197

1311 N Mildred Rd
Cortez, CO 81321
Phone (970) 565-6666

1501 E 3rd St
Delta, CO 81416
Phone (970) 874-2470

5575 Dtc Pkwy
Ste 225
Greenwood Village, CO 80111

1008 Minnequa Ave
Pueblo, CO 81004
Phone (719) 557-5656

2100 NW 35th Avenue Rd
Ocala, FL 34475
Phone (352) 280-7400

10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788

1720 Central Ave E
Ste A
Hampton, IA 50441
Phone 3033901940 ext. 86349

1111 11th St
Hawarden, IA 51023
Phone (712) 551-3100

29980 Network Pl
Chicago, IL 60673

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

20 Hartford St
Houlton, ME 04730
Phone (207) 532-2900

140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 11
Presque Isle, ME 04769
Phone (207) 764-1898

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

814 S Ice Lake Rd
Iron River, MI 49935
Phone (715) 847-2022

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616

1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AAIAAA
  • Direct secure messaging: mshah611516@direct.froedtert.com
  • Direct secure messaging: mshah734927@direct.shands.ufl.edu
  • Direct secure messaging: manishashah@mmc.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Nov 21, 2013
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Nov 21, 2013
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 71

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.

View all 71

Hospital & facility affiliations 7

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": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1215012000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6717 CLEAR SPRINGS CIR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442826",
            "telephone_number": "940-765-8484",
            "fax_number": "940-220-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 TACOMA AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442263",
            "telephone_number": "509-837-1500",
            "fax_number": "509-837-4908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "194 E Main St",
            "address_purpose": "LOCATION",
            "city": "Fort Kent",
            "state": "ME",
            "postal_code": "047431428",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Sunrise Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peter",
            "state": "MN",
            "postal_code": "560825376",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "502 W 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Toppenish",
            "state": "WA",
            "postal_code": "989481616",
            "country_code": "US",
            "telephone_number": "509-865-3105",
            "fax_number": "509-865-1519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18797 Alberta St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "TN",
            "postal_code": "378412127",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1008 Minnequa Ave",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810043733",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 11th St",
            "address_purpose": "LOCATION",
            "city": "Hawarden",
            "state": "IA",
            "postal_code": "510231903",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Riverview Ave Ste 700",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235101065",
            "country_code": "US",
            "telephone_number": "757-252-9365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Richland Center",
            "state": "WI",
            "postal_code": "535811914",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 S I 35 E Ste 220",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762106813",
            "country_code": "US",
            "telephone_number": "972-765-8484",
            "fax_number": "940-220-7527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 N Mildred Rd",
            "address_purpose": "LOCATION",
            "city": "Cortez",
            "state": "CO",
            "postal_code": "813212231",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Fillmore St",
            "address_purpose": "LOCATION",
            "city": "Osceola",
            "state": "IA",
            "postal_code": "502131669",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1755 N Mecklenburg Ave",
            "address_purpose": "LOCATION",
            "city": "South Hill",
            "state": "VA",
            "postal_code": "239704080",
            "country_code": "US",
            "telephone_number": "434-447-3151",
            "fax_number": "434-584-4023",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1720 Central Ave E Ste A",
            "address_purpose": "LOCATION",
            "city": "Hampton",
            "state": "IA",
            "postal_code": "504411867",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "939 Caroline St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983623909",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Hartford St",
            "address_purpose": "LOCATION",
            "city": "Houlton",
            "state": "ME",
            "postal_code": "047301891",
            "country_code": "US",
            "telephone_number": "303-390-1940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 NW 35th Avenue Rd",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344754630",
            "country_code": "US",
            "telephone_number": "352-280-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MANISHA",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MN",
            "license": "81548",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "J8767",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "VA",
            "license": "0101271026",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TN",
            "license": "62629",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "CDR.0003889",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD61345543",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-56384",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ME",
            "license": "MD27359",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "2475-320",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME169276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2259012",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sunnyside, WA

Sources for this page

Verify at the official NPI Registry.