Individual provider Active NPI

Abid Shah, MD

  • Emergency Medicine Physician
  • Henderson, NC
National Provider Identifier
1245227222
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Practice address
566 Ruin Creek Rd
Henderson, NC 27536-2927
Phone
(252) 436-1162
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NC Primary

Addresses

Primary practice location

566 Ruin Creek Rd
Henderson, NC 27536-2927

Mailing address

9121 Riverview Park Dr
Raleigh, NC 27613-5385
Phone (919) 624-9621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040405000961 NY Practitioner - Emergency MedicinePractitioner - Internal Medicine 3971596172
I20050503000342 NC Practitioner - Internal MedicinePractitioner - Family Practice 3971596172 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as group
Quality
89.92
Improvement activities
40
Cost
78.23

Merit-based Incentive Payment System (MIPS)

Final score
95.06 of 100Reported as group
Quality
83.09
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90.96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Jun 1, 2010 Accepting new patients
Halifax Regional Medical Center Inc CurrentSince Oct 7, 2015 Accepting new patients
Piedmont Triad Physicians, PLLC Emergency Medicine CurrentSince Nov 10, 2021 Accepting new patients
Medical Services of Suffolk County PC Emergency Medicine CurrentSince Jul 22, 2019 Accepting new patients
Halifax Regional Medical Center Inc CurrentSince Oct 7, 2015 Accepting new patients
NC Emergency Physician Services, PLLC Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Gem Capital Physicians, PLLC Emergency Medicine CurrentSince Apr 15, 2019 Accepting new patients
Bull City Physicians, PLLC Emergency Medicine CurrentSince Apr 15, 2019 Accepting new patients
North Carolina Em-I Medical Services PC Emergency Medicine Past Accepting new patients
New York Em-I Medical Services PC Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Carolina Coast Emergency Physicians LLC Emergency Medicine Past Accepting new patients
New York Em-I Medical Services PC Emergency Medicine Past Accepting new patients
New York Em-I Medical Services PC Emergency Medicine Past Accepting new patients
Lumberton Emergency Medical Associates PC Emergency Medicine PastSince Oct 1, 2023 Accepting new patients

Locations

607 Beaman St
Clinton, NC 28328
Phone (910) 590-8729

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1148

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245227222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 RIVERVIEW PARK DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276135385",
            "telephone_number": "919-624-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 RUIN CREEK RD",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362927",
            "telephone_number": "252-436-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ABID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NC

Sources for this page

Verify at the official NPI Registry.