Individual provider Active NPI

Kiran Shah, MD

  • Neurology Physician
  • Carrollton, TX
National Provider Identifier
1255374302
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
K1058 Issued in TX
Practice address
4217 Marsh Ridge Rd
Suite 120
Carrollton, TX 75010
Phone
(972) 306-6300
Fax
(972) 306-6500
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X K1058 TX Primary

Addresses

Primary practice location

4217 Marsh Ridge Rd
Suite 120
Carrollton, TX 75010

Mailing address

4217 Marsh Ridge Rd
Suite 120
Carrollton, TX 75010
Phone (972) 306-6300

Other identifiers 2

IdentifierTypeStateIssuer
8AP801OtherTXBCBS
0021CFOtherTXBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040416001241 TX Practitioner - NeurologyPractitioner - Sleep Medicine 6305831561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kiran P Shah, MD, PAGroup PAC ID 1052407822, 2 clinicians

Practice addresses (Care Compare)

4217 Marsh Ridge Rd
Suite 120
Carrollton, TX 75010-4416
Phone (972) 306-6300

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771

Merit-based Incentive Payment System (MIPS)

Final score
92.74 of 100Reported as individual
Quality
95.4
Improvement activities
40
Cost
81.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kiran P Shah, MD, PA Neurology CurrentSince Apr 1, 2007 Accepting new patients

Locations

4217 Marsh Ridge Rd
Ste 120
Carrollton, TX 75010
Phone (866) 656-8776

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCIBBD/Endpoint/DCIBBD

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1255374302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-306-6300",
            "fax_number": "972-306-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-306-6300",
            "fax_number": "972-306-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KIRAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "K1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AP801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "0021CF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.