Active NPI
Animesh Chandulal Shah, MD
- Diagnostic Radiology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 227088
- 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, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, FL, IL, WI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1971
- Medicare assignment
- May accept Medicare assignment
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| C52320 | CA | MD | Diagnostic Radiology Physician |
| 431246 | KS | MD | Diagnostic Radiology Physician |
| 227088 | MA | MD | Diagnostic Radiology Physician |
| D63709 | MD | MD | Diagnostic Radiology Physician |
| 0101242324 | VA | MD | Diagnostic Radiology Physician |
| 50336 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proscan NCH Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Nchmd, Inc | Current | Accepting new patients | |
| Oncology Hematology Associates of Northern Illinois, LTD | Current | Accepting new patients | |
| Cal Devon Urgent Care Inc | Diagnostic Radiology | Current | Accepting new patients |
| Blue Radiology Services LLC | Diagnostic Radiology | Current | Accepting new patients |
| Meritus Medical Center Inc | Diagnostic Radiology | Current | Accepting new patients |
| Health Services of Central Georgia, Inc | Current | Accepting new patients | |
| St Francis Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Universal Radiology Partners of Florida LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mobile Images Acquisition, LLC | Current | Accepting new patients | |
| BTX Koi Inc | Current | Accepting new patients | |
| O C Mobile Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Waukegan Clinic Corp | Current | Accepting new patients | |
| Washington University Physicians in Illinois Inc | Diagnostic Radiology | Current | Accepting new patients |
| Regional Imaging Associates | Diagnostic Radiology | Current | Accepting new patients |
| Biotech X-Ray Inc | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Cavalier Mobile Xray Co | Current | Accepting new patients | |
| Biotech X-Ray Inc | Current | Accepting new patients | |
| Washington University Physicians in Illinois, Inc | Current | Accepting new patients | |
| Sol Radiology, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Universal Radiology Partners of California PC | Diagnostic Radiology | Current | Accepting new patients |
| White-Wilson Medical Center PA | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Cal Devon Urgent Care Inc | Current | Accepting new patients | |
| Froedtert South, Inc. | Current | Accepting new patients | |
| All-Stat Portable MD LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Proscan Radiology, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Ahs Il Medical Group LLC | Current | Accepting new patients | |
| Diagnostic Centers of America LLP | Diagnostic Radiology | Current | Accepting new patients |
| Humboldt Park Health | Current | Accepting new patients | |
| Xcel Diagnostics LLC | Current | Accepting new patients | |
| Express Mobile Diagnostic Services, LLC | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Open System MRI LLC | Diagnostic Radiology | Current | Accepting new patients |
| All-Stat Portable Mi LLC | Current | Accepting new patients | |
| City of Hope Medical Foundation | Current | Accepting new patients | |
| Great Lakes Radiology Services | Diagnostic Radiology | Current | Accepting new patients |
| Procare Medical Group SC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Boca Radiology Group PA | Diagnostic Radiology | Past | Accepting new patients |
| Regional Health Services Inc | Past | 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 | Past | Accepting new patients | |
| Diagnostic Radiology Center of the Treasure Coast | Diagnostic Radiology | Past | Accepting new patients |
| Bloomington Radiology S C | Diagnostic Radiology | Past | 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
- animesh.shah.1@21123.direct.athenahealth.com
- https://api.platform.athenahealth.com/18762/brand/1/csg/1/fhir/r4
- 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.
-
- Clinic/Center
- Granite City, IL
- NPI 1659098101
-
dba Meritus Radiology
- Diagnostic Radiology Physician
- Hagerstown, MD
- NPI 1184477911
OH
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Diagnostic Radiology Physician
- Naples, FL
- NPI 1003406711
-
- Diagnostic Radiology Physician
- Seaman, OH
- NPI 1346027976
-
- Diagnostic Radiology Physician
- Temecula, CA
- NPI 1467225235
-
- Diagnostic Radiology Physician
- Wellington, FL
- NPI 1225836703
-
- Family Medicine Physician
- Waukegan, IL
- NPI 1306937289
-
- Diagnostic Radiology Physician
- Wellington, FL
- NPI 1174976468
-
- Diagnostic Radiology Physician
- Morton Grove, IL
- NPI 1104940618
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
-
dba NCH Healthcare System Inc
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
dba Garden City Hospital
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
-
dba Southwest Healthcare - Inland Valley Hospital
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
-
dba Wellington Regional Medical Center
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.