Individual provider Active NPI

Bimal Ramesh Shah, M.D.

  • Cardiovascular Disease Physician
  • Durham, NC
National Provider Identifier
1255327300
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2005-00907 Issued in NC
Practice address
5 Sydenham Rd
Durham, NC 27713-7211
Phone
(919) 321-6829
NPI assigned
Sep 23, 2005
Last updated
Apr 29, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2005-00907 NC Primary

Addresses

Primary practice location

5 Sydenham Rd
Durham, NC 27713-7211

Mailing address

5 Sydenham Rd
Durham, NC 27713-7211
Phone (919) 321-6829

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00907NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Central Carolina Medical Group LLC Current Accepting new patients
DLP Central Carolina Medical Group LLC Cardiovascular Disease CurrentSince Jul 12, 2017 Accepting new patients
DLP Central Carolina Medical Group LLC CurrentSince Jul 12, 2017 Accepting new patients
DLP Central Carolina Medical Group LLC Past Accepting new patients
Homeward Physicians , PLLC PastSince Jan 21, 2022 Accepting new patients

Locations

75 Old Graham Rd
Pittsboro, NC 27312
Phone (919) 542-2731

709 Wicker St
Ste B
Sanford, NC 27330
Phone (919) 774-1277

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: bshah13663@direct.medicine.duke.edu
  • FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1255327300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SYDENHAM RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137211",
            "telephone_number": "919-321-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SYDENHAM RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277137211",
            "telephone_number": "919-321-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BIMAL",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2005-00907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.