BKSS Fitness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BKSS FITNESS LLC

Doing business as

Shreeji Clinic

Practice address

4030 Wake Forest Rd Ste 301
Raleigh, NC 27609-0010

Phone

(336) 310-6667

Fax

(336) 571-6505

NPI assigned

Apr 17, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Kinchit K Shah, MDNPI 1306230941

Title

Physician, Co-Owner

Phone

(336) 310-6667

Specialties & licenses 1

Addresses

Other names 1

• Shreeji Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kinchit K Shah, M.D.

  • Hospitalist Physician
  • Winston Salem, NC
  • NPI 1306230941
  NPD Authorized official

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

{
    "created_epoch": "1744848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767312000000",
    "number": "1215723176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W HARGETT ST STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011351",
            "telephone_number": "336-310-6667",
            "fax_number": "336-571-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 301",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "336-310-6667",
            "fax_number": "336-571-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BKSS FITNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-17",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KINCHIT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN, CO-OWNER",
        "authorized_official_telephone_number": "336-310-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shreeji Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shreeji Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trisha Marie Bizub, M.A. CCC-SLP
• BJ's Wholesale Club Inc.
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• BKD Personal Assistance Services LLC (Brookdale at Home North Raleigh (HC))
• Alexandra Black, NURSE PRACTITIONER
• Destini Black
• Haylie Black
• Henry Campbell McNaughton Black
• Julia Black, MS

• Internal Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.