Princy Kanakkumar Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT219648 Issued in PA

Practice address

Wright Medical Center
501 S Washington Avenue
Scranton, PA 18505

Phone

(843) 847-0079

NPI assigned

Feb 7, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Hospitalist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Inpatient Medical Associates IncGroup PAC ID 7416846977, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Ctr Hospital, Springfield, MA, CCN 220066
• Baystate Medical Center Hospital, Springfield, MA, CCN 220077

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pshah65443@direct.med.uchc.edu

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.

• Mercy Inpatient Medical Associates Inc.

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1407845282
  Medicare reassignment Care Compare group NPD
• University of Connecticut Health Center

  • General Practice Physician
  • Farmington, CT
  • NPI 1720083769

  Internal Medicine

  Medicare reassignment NPD
• University of Connecticut Health Center

  • Durable Medical Equipment & Medical Supplies
  • Farmington, CT
  • NPI 1104809375
  NPD
• The Mercy Hospital Inc

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1043204316
  NPD (past)
• University of Connecticut Health Center

  • Clinical Medical Laboratory
  • Farmington, CT
  • NPI 1427031293
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baystate Medical Center Inc

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1487655064
  Care Compare affiliation
• Baystate Medical Center Inc

  • Clinical Medical Laboratory
  • Springfield, MA
  • NPI 1568488450

  Hospital

  Care Compare affiliation
• The Mercy Hospital Inc

  • General Acute Care Hospital
  • Springfield, MA
  • NPI 1043204316
  Care Compare affiliation
• The Mercy Hospital Inc

  • Rehabilitation Hospital Unit
  • Springfield, MA
  • NPI 1750360798
  Care Compare affiliation

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1245862259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 SUMMIT POINTE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185081021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WRIGHT MEDICAL CENTER",
            "address_2": "501 S WASHINGTON AVENUE",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "18505",
            "telephone_number": "843-847-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRINCY",
        "middle_name": "KANAKKUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-07",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT219648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nakita Shaffer, RN
• Chilsia Shafi
• Badar U Din Shah
• Daniel Shah
• Nischay Shah
• Rahmat Shah, MD
• Riddhi Sunil Shah, M.D.
• Sagar M Shah, DO
• Syed Mustafa Ali Shah, MD
• Wajeeha Shahid, M.D.

• Internal Medicine Physician in Scranton, PA
• Providers in Scranton, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.