Active NPI
Shah Osteopathy, PLLC
- Internal Medicine Physician
- High Point, NC
National Provider Identifier
1285306852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- SHAH OSTEOPATHY, PLLC
- Practice address
- 2040 Brevard Rd
High Point, NC 27263-1702 - Phone
- (630) 730-4866
- NPI assigned
- Oct 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pratik Shah, DO
- Title
- Physician
- Phone
- (630) 730-4866
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
2040 Brevard Rd
High Point, NC 27263-1702
Mailing address
5304 Sequoia CT
Greensboro, NC 27455-2184
Phone (630) 730-4866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2941 Battleground Ave
#38042
Greensboro, NC 27408
2040 Brevard Rd
High Point, NC 27263
Phone (630) 730-4866
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1633046400000",
"number": "1285306852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 SEQUOIA CT",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552184",
"telephone_number": "630-730-4866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 BREVARD RD",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272631702",
"telephone_number": "630-730-4866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAH OSTEOPATHY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-01",
"last_updated": "2021-10-01",
"certification_date": "2021-10-01",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "PRATIK",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "630-730-4866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.