Individual provider Active NPI

Monty Shah, M.D.

  • Diagnostic Radiology Physician
  • Salem, MA
National Provider Identifier
1265633663
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
246499 Issued in MA
Practice address
81 Highland Ave
Salem, MA 01970-2714
Phone
(978) 354-4422
Fax
(978) 825-6508
NPI assigned
May 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 141680 NC
Diagnostic Radiology Physician 2085R0202X 246499 MA Primary

Addresses

Primary practice location

81 Highland Ave
Salem, MA 01970-2714

Mailing address

118 Huntington Ave
Apt 606
Boston, MA 02116-5743
Phone (512) 751-8079

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110707000147 MA Practitioner - Diagnostic Radiology 6204014640 Reassigns benefits to 4 organizations
I20250530003146 NH Practitioner - Diagnostic Radiology 6204014640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas a & M University System, HSC, College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mass General Brigham Community Physicians IncGroup PAC ID 1759273436, shared by 6 NPIs, 430 clinicians

Practice addresses (Care Compare)

1 Park Way
Haverhill, MA 01830-6278
Phone (978) 521-3210

Hospital & facility affiliations

  • Brigham and Women'S Hospital Hospital, Boston, MA, CCN 220110
  • Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
  • Newton-Wellesley Hospital Hospital, Newton, MA, CCN 220101
  • Cooley Dickinson Hospital Inc,the Hospital, Northampton, MA, CCN 220015
  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246499MAMDDiagnostic Radiology Physician
141680NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Mass General Brigham Community Physicians Inc CurrentSince Sep 1, 2015 Accepting new patients
Mass General Brigham Community Physicians Inc. CurrentSince Sep 1, 2015 Accepting new patients
MW Radiology-Cra LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Merrimack Radiology-Cra LLC Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients

Locations

102 Endicott St
Danvers, MA 01923
Phone (978) 882-6100

66 E Main St
Georgetown, MA 01833
Phone (978) 352-7780

1 Parkway
Haverhill, MA 01830
Phone (978) 521-3210

500 Merrimack St
Lawrence, MA 01843
Phone (978) 557-8800

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

585 Lebanon St
Melrose, MA 02176
Phone (781) 979-3026

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

399 Revolution Dr
Ste 1010
Somerville, MA 02145
Phone (857) 282-2063

30 Tuscan Blvd
Salem, NH 03079
Phone (857) 282-8100

Interoperability endpoints

  • Direct secure messaging: mshah28921@tuftsmedicine.direct-ci.com

Organizations & group practices 4

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 7

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": "1180569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1265633663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HUNTINGTON AVE",
            "address_2": "APT 606",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165743",
            "telephone_number": "512-751-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 HIGHLAND AVE",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019702714",
            "telephone_number": "978-354-4422",
            "fax_number": "978-825-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MONTY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-31",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "141680",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "246499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, MA

Sources for this page

Verify at the official NPI Registry.