Individual provider Active NPI

Nidhi Shah, PA-C

  • Physician Assistant
  • Dublin, OH
National Provider Identifier
1235556606
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.003997RX Issued in OH
Practice address
6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone
(614) 923-0300
Fax
(614) 923-0400
NPI assigned
Mar 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.003997RX OH Primary

Addresses

Primary practice location

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600

Mailing address

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone (614) 923-0300

Other identifiers 1

IdentifierTypeStateIssuer
0109442MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nshah114761@direct.ohiohealth.com OhioHealth Physician Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140501000767 OH Practitioner - Physician Assistant 8224261003 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth Urgent Care LLCGroup PAC ID 3476733700, 129 clinicians

Practice addresses (Care Compare)

1120 Polaris Pkwy
Suite 100
Columbus, OH 43240-4042
Phone (614) 847-1120

130 University Dr
Suite 1300
Marion, OH 43302-1104
Phone (740) 692-4440

14 McDowell St
Suite 100
Columbus, OH 43215-4005
Phone (614) 955-3001

1434 Circleville Plaza Dr
Circleville, OH 43113-2269
Phone (740) 571-9900

1710 Columbus Pike
Delaware, OH 43015-2726
Phone (740) 549-2700

1820 E Mansfield St
Bucyrus, OH 44820-2018
Phone (567) 241-7160

2030 Stringtown Rd
Grove City, OH 43123-3993
Phone (614) 883-0160

4343 All Seasons Dr
Suite 160
Hilliard, OH 43026-1962
Phone (614) 541-2676

6905 Hospital Dr
Suite 130
Dublin, OH 43016-9600
Phone (614) 923-0300

921 E Franklin St
Kenton, OH 43326-2020
Phone (419) 675-8123

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007900GAMDClinical Social Worker
50.003997RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 16, 2023 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Feb 16, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4173 Worth Ave
#K105
Columbus, OH 43219
Phone (740) 268-2656

Organizations & group practices 4

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": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1235556606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-923-0300",
            "fax_number": "614-923-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 HOSPITAL DR",
            "address_2": "SUITE 130",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169600",
            "telephone_number": "614-923-0300",
            "fax_number": "614-923-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIDHI",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.003997RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0109442",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshah114761@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "895 W 3rd Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432123106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.