Individual provider Active NPI

Animesh Chandulal Shah, MD

  • Diagnostic Radiology Physician
  • Boston, MA
National Provider Identifier
1265457485
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
227088 Issued in MA
Practice address
65 E India Row Apt 33C
Boston, MA 02110-3323
Phone
(952) 595-1100
Fax
(952) 942-3361
NPI assigned
Jul 12, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C52320 CA
Diagnostic Radiology Physician 2085R0202X ME94621 FL
Diagnostic Radiology Physician 2085R0202X 431246 KS
Diagnostic Radiology Physician 2085R0202X D63709 MD
Diagnostic Radiology Physician 2085R0202X 227088 MA Primary
Diagnostic Radiology Physician 2085R0202X 50336 WI
Diagnostic Radiology Physician 2085R0202X 0101242324 VA

Addresses

Primary practice location

65 E India Row Apt 33C
Boston, MA 02110-3323

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1100

Other names 1

  • Animeshkumar Chandulal Shah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, FL, IL, WI, CA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20191003001447 OH Practitioner - Diagnostic Radiology 7810934346 Reassigns benefits to 8 organizations
I20220816001494 FL Practitioner - Diagnostic Radiology 7810934346 Reassigns benefits to 11 organizations
I20230626003014 IL Practitioner - Diagnostic Radiology 7810934346 Reassigns benefits to 6 organizations
I20251009003631 WI Practitioner - Diagnostic Radiology 7810934346 Reassigns benefits to 2 organizations
I20251203003181 CA Practitioner - Diagnostic Radiology 7810934346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1971
Medicare assignment
May accept Medicare assignment
Group practices
Universal Radiology Partners of Florida LLCGroup PAC ID 8224554027, 17 clinicians
Proscan NCH Imaging LLCGroup PAC ID 6103233051, 104 clinicians
Waukegan Clinic CorpGroup PAC ID 4284631086, 60 clinicians
Ahs Il Medical Group LLCGroup PAC ID 5496111676, 46 clinicians
Universal Radiology Partners of California PCGroup PAC ID 7214372986, 67 clinicians
Nchmd IncGroup PAC ID 9436139565, 503 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians
St Francis Radiology Medical GroupGroup PAC ID 7113953159, 8 clinicians
Regional Imaging AssociatesGroup PAC ID 7113372236, 22 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

10101 Forest Hill Blvd
Wellington, FL 33414-6103
Phone 5617661300601

1020 Crosspointe Dr
Suite 103
Naples, FL 34110-0918
Phone (239) 598-0035

1324 N Sheridan Rd
Waukegan, IL 60085-2161
Phone (847) 360-3000

2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000

31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone (951) 331-2200

350 7TH St N
Naples Community Hospital
Naples, FL 34102-5754
Phone (239) 436-5100

397 Timberleaf Dr
Beavercreek, OH 45430-2099
Phone (800) 475-6112

7950 NW 53Rd St
Suite 337
Miami, FL 33166-4791
Phone (310) 900-2768

925 Toulon Ave
Marion, OH 43302-6605
Phone (903) 663-4800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C52320CAMDDiagnostic Radiology Physician
431246KSMDDiagnostic Radiology Physician
227088MAMDDiagnostic Radiology Physician
D63709MDMDDiagnostic Radiology Physician
0101242324VAMDDiagnostic Radiology Physician
50336WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince May 6, 2022 Accepting new patients
Nchmd, Inc CurrentSince Jun 12, 2025 Accepting new patients
Oncology Hematology Associates of Northern Illinois, LTD CurrentSince Jun 14, 2025 Accepting new patients
Cal Devon Urgent Care Inc Diagnostic Radiology CurrentSince Oct 10, 2025 Accepting new patients
Blue Radiology Services LLC Diagnostic Radiology CurrentSince Oct 1, 2022 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Jan 16, 2025 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince May 30, 2024 Accepting new patients
St Francis Radiology Medical Group Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Universal Radiology Partners of Florida LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Mobile Images Acquisition, LLC CurrentSince Nov 1, 2019 Accepting new patients
BTX Koi Inc CurrentSince Apr 1, 2023 Accepting new patients
O C Mobile Imaging Diagnostic Radiology CurrentSince Feb 5, 2025 Accepting new patients
Waukegan Clinic Corp CurrentSince Jun 14, 2025 Accepting new patients
Washington University Physicians in Illinois Inc Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
Regional Imaging Associates Diagnostic Radiology CurrentSince Nov 1, 2023 Accepting new patients
Biotech X-Ray Inc CurrentSince Apr 1, 2025 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Apr 9, 2024 Accepting new patients
Cavalier Mobile Xray Co CurrentSince Jan 1, 2023 Accepting new patients
Biotech X-Ray Inc CurrentSince Jan 1, 2023 Accepting new patients
Washington University Physicians in Illinois, Inc CurrentSince Feb 1, 2026 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince May 1, 2024 Accepting new patients
Universal Radiology Partners of California PC Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
White-Wilson Medical Center PA CurrentSince Sep 1, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Cal Devon Urgent Care Inc CurrentSince Oct 10, 2025 Accepting new patients
Froedtert South, Inc. CurrentSince Aug 1, 2025 Accepting new patients
All-Stat Portable MD LLC CurrentSince Nov 10, 2020 Accepting new patients
Vpa PC CurrentSince Oct 8, 2021 Accepting new patients
Proscan Radiology, LLC Diagnostic Radiology CurrentSince Feb 16, 2022 Accepting new patients
Ahs Il Medical Group LLC CurrentSince Jun 14, 2025 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology CurrentSince Apr 9, 2024 Accepting new patients
Humboldt Park Health CurrentSince Jan 1, 2026 Accepting new patients
Xcel Diagnostics LLC CurrentSince Dec 1, 2017 Accepting new patients
Express Mobile Diagnostic Services, LLC CurrentSince Oct 1, 2025 Accepting new patients
Nchmd Inc Current Accepting new patients
Open System MRI LLC Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
All-Stat Portable Mi LLC CurrentSince Aug 1, 2024 Accepting new patients
City of Hope Medical Foundation CurrentSince Nov 19, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Procare Medical Group SC CurrentSince Sep 1, 2025 Accepting new patients
Vpa PC Current Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Jun 12, 2025 Accepting new patients
Vpa PC CurrentSince Oct 8, 2021 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Regional Health Services Inc PastSince Jul 24, 1990 Accepting new patients
Preventive Diagnostics Inc Past Accepting new patients
Potomac Radiology & Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Upmc Hamot Past Accepting new patients
City of Hope Medical Foundation PastSince Jun 27, 2021 Accepting new patients
Diagnostic Radiology Center of the Treasure Coast Diagnostic Radiology Past Accepting new patients
Bloomington Radiology S C Diagnostic Radiology PastSince Jun 13, 2023 Accepting new patients
All-Stat Portable in LLC Past Accepting new patients
Pdihealth MD LLC Past Accepting new patients
Dav-Kim Portable X Ray Service Co Past Accepting new patients
Pco PC Diagnostic Radiology Past Accepting new patients
Mobile Images Acquisition, LLC Diagnostic Radiology Past Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Past Accepting new patients
Howard John Simon MD PC Diagnostic Radiology Past Accepting new patients

Locations (25 of 45)

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761

1500 Duarte Rd
Duarte, CA 91010
Phone (626) 359-8111

3630 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 900-7420

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

1035 Placer St
Redding, CA 96001

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

6939 Palm Ct
Riverside, CA 92506
Phone (760) 416-4832

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

1100 San Bernardino Rd
Ste 1100
Upland, CA 91786
Phone (909) 949-2242

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

1005 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 863-8100

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

7950 NW 53rd St
Ste 337
Miami, FL 33166
Phone (310) 900-2768

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721

350 7th St N
Naples, FL 34102
Phone (239) 436-5000

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

1155 S Congress Ave
Ste C
West Palm Beach, FL 33406
Phone 5617661300501

16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: animesh.shah.1@21123.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/18762/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/2069/brand/1/csg/29/fhir/r4

Organizations & group practices 63

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.

View all 63

Hospital & facility affiliations 5

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1265457485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1100",
            "fax_number": "952-942-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 E INDIA ROW APT 33C",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021103323",
            "telephone_number": "952-595-1100",
            "fax_number": "952-942-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ANIMESH",
        "middle_name": "CHANDULAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C52320",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME94621",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "431246",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D63709",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "227088",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "50336",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101242324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANIMESHKUMAR",
            "last_name": "SHAH",
            "middle_name": "CHANDULAL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.