Individual provider Active NPI

Ajit Shah, MD

  • Nuclear Medicine Physician
  • Lexington, KY
National Provider Identifier
1245227735
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
TP163 Issued in KY
Practice address
800 Rose St # Hx332E
Lexington, KY 40536-7001
Phone
(859) 323-5069
Fax
(859) 257-4457
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD036456E PA
Nuclear Medicine Physician 207U00000X TP163 KY Primary

Addresses

Primary practice location

800 Rose St # Hx332E
Lexington, KY 40536-7001

Mailing address

1615 Blackburn Heights Dr.
Sewickley, PA 15143
Phone (412) 324-1078

Other practice location 1

1615 Blackburn Heights Dr.
Sewickley, PA 15143
Phone (412) 324-1078

Other identifiers 2

IdentifierTypeStateIssuer
1245227735OtherNPI
TP163OtherKYKENTUCKY MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20031230000382 PA Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 4082512942 Reassigns benefits to 10 organizations
I20080703000369 NY Practitioner - Nuclear Medicine 4082512942 Reassigns benefits to 6 organizations
I20240116001746 TX Practitioner - Diagnostic Radiology 4082512942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Diagnostic Imaging, PLLCGroup PAC ID 0547242224, 14 clinicians
Hudson Valley Diagnostic Imaging PLLCGroup PAC ID 6204729452, 16 clinicians
Regional Health Services IncGroup PAC ID 4880593722, 572 clinicians
Vision Imaging of Kingston LLCGroup PAC ID 8921065319, 12 clinicians

Practice addresses (Care Compare)

14 Raymond Ave
Poughkeepsie, NY 12603-2312
Phone (845) 471-2848

1615 Blackburn Heights Dr
Sewickley, PA 15143-8627
Phone (412) 741-0491

201 State St
Erie, PA 16550-0002
Phone (814) 877-6000

517 Pierce St
Kingston, PA 18704-5756
Phone (570) 714-7226

575 Hudson Valley Ave
Suite 101
New Windsor, NY 12553-4746
Phone (845) 220-2222

Hospital & facility affiliations

  • Upmc Hamot Hospital, Erie, PA, CCN 390063

Merit-based Incentive Payment System (MIPS)

Final score
81.89 of 100Reported as group
Quality
65.8
Promoting interoperability
100
Improvement activities
40
Cost
73.83

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Diagnostic Imaging, PLLC Nuclear Medicine CurrentSince Sep 1, 2024 Accepting new patients
Capital Imaging Associates Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Highlands Hospital and Health Center CurrentSince May 26, 2020 Accepting new patients
Medical Diagnostic Imaging PLLC CurrentSince Sep 1, 2024 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Oct 31, 2023 Accepting new patients
New Rochelle Radiology Associates, P.C. Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Highlands Hospital and Health Center CurrentSince May 26, 2020 Accepting new patients
Cny Diagnostic Imaging Associates Diagnostic Radiology CurrentSince May 11, 2026 Accepting new patients
Regional Health Services Inc CurrentSince Jan 1, 2007 Accepting new patients
Vision Imaging of Kingston LLC Diagnostic Radiology CurrentSince Apr 20, 2022 Accepting new patients
Metabolic Disease Associates, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Radiology Associates of North Texas, PA Diagnostic Radiology CurrentSince Oct 31, 2023 Accepting new patients
Imaging Associates of Hazleton PC Diagnostic Radiology CurrentSince Apr 20, 2022 Accepting new patients
Imaging Associates of Greater Pittsburgh Diagnostic Radiology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
West Ohio X-Ray Diagnostic Radiology Past Accepting new patients

Locations

504 Central Ave
Dunkirk, NY 14048
Phone (716) 366-9008

529 Central Ave
Dunkirk, NY 14048
Phone (716) 338-9797

12 Center St
Ste 1
Fredonia, NY 14063
Phone (716) 679-2233

745 State Route 17M
Ste 106
Monroe, NY 10950
Phone (845) 220-2222

175 Memorial Hwy
New Rochelle, NY 10801
Phone (914) 235-3535

575 Hudson Valley Ave
Ste 101
New Windsor, NY 12553
Phone (845) 220-2222

14 Raymond Ave
Poughkeepsie, NY 12603
Phone (845) 471-2848

1000 E Genesee St
Ste 100
Syracuse, NY 13210
Phone (315) 269-9729

1323 Route 9
Ste 107
Wappingers Falls, NY 12590
Phone (845) 471-2848

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

120 E 2nd St
Erie, PA 16507
Phone (814) 453-6751

201 State St
Erie, PA 16550
Phone (814) 877-2137

3330 Peach St
Ste 203
Erie, PA 16508
Phone (814) 864-5748

240 W 11th St
Ste 2
Erie, PA 16501
Phone (814) 452-2218

3406 Peach St
Erie, PA 16508
Phone (814) 877-5381

101 S Church St
Hazleton, PA 18201
Phone (570) 501-7226

517 Pierce St
Kingston, PA 18704
Phone (570) 371-3536

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

1163 Country Club Rd
#H
Monongahela, PA 15063
Phone (724) 258-1000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

Organizations & group practices 17

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 17

Hospital & facility affiliations 2

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245227735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 BLACKBURN HEIGHTS DR.",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "telephone_number": "412-324-1078",
            "fax_number": "142-324-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE ST # HX332E",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405367001",
            "telephone_number": "859-323-5069",
            "fax_number": "859-257-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1615 BLACKBURN HEIGHTS DR.",
            "address_purpose": "LOCATION",
            "city": "SEWICKLEY",
            "state": "PA",
            "postal_code": "15143",
            "country_code": "US",
            "telephone_number": "412-324-1078",
            "fax_number": "142-324-1079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AJIT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD036456E",
            "primary": false
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "KY",
            "license": "TP163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1245227735",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAL LICENSE",
            "identifier": "TP163",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.