Individual provider Active NPI

Alpa Shah, MD

  • Neurology Physician
  • Carrollton, TX
National Provider Identifier
1255474862
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
M2473 Issued in TX
Practice address
4217 Marsh Ridge Rd
Ste 120
Carrollton, TX 75010-4456
Phone
(972) 306-6300
NPI assigned
Feb 14, 2007
Last updated
Nov 28, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2473 TX
Neurology Physician 2084N0400X M2473 TX Primary

Addresses

Primary practice location

4217 Marsh Ridge Rd
Ste 120
Carrollton, TX 75010-4456

Mailing address

3709 Branchwood Dr
Plano, TX 75093-7931
Phone (972) 306-6300

Other identifiers 1

IdentifierTypeStateIssuer
8AP800OtherTXBCBS

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
I20071011000718 TX Practitioner - NeurologyPractitioner - Internal Medicine 6406942093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NeurologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

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

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, 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": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1255474862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 BRANCHWOOD DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937931",
            "telephone_number": "972-306-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD",
            "address_2": "STE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104456",
            "telephone_number": "972-306-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ALPA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2473",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "M2473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AP800",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.