Individual provider Active NPI

Samir Sunil Shah, MD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
National Provider Identifier
1285600593
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD424458 Issued in PA
Practice address
3400 Spruce Street
Philadelphia, PA 19104-4206
Phone
(215) 662-3000
Fax
(215) 662-7011
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD424458 PA Primary

Addresses

Primary practice location

3400 Spruce Street
Philadelphia, PA 19104-4206

Mailing address

22 Llanfair Rd
Unit 6
Ardmore, PA 19003-2320
Phone (215) 662-3000

Other identifiers 1

IdentifierTypeStateIssuer
2620300MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MI, OH, GA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040803000005 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 3476524687 Reassigns benefits to 31 organizations
I20210413001072 MI Practitioner - Diagnostic Radiology 3476524687 Reassigns benefits to 1 organization
I20210507000938 OH Practitioner - Diagnostic Radiology 3476524687 Reassigns benefits to 1 organization
I20241219003767 GA Practitioner - Diagnostic Radiology 3476524687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of South Carolina LLCGroup PAC ID 3779932959, 109 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

6000 Red Tail LN
Gibsonia, PA 15044-6046
Phone (469) 757-1042

Hospital & facility affiliations

  • St Francis-Downtown Hospital, Greenville, SC, CCN 420023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD424458PAMDDiagnostic Radiology Physician

Practice roles (54 of 56)

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C Diagnostic Radiology CurrentSince May 14, 2020 Accepting new patients
Health Services of Central Georgia, Inc CurrentSince Nov 1, 2024 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Methodist Associates in Healthcare, Inc CurrentSince Feb 2, 2025 Accepting new patients
Methodist Associates in Healthcare, Inc Diagnostic Radiology CurrentSince Feb 2, 2025 Accepting new patients
Hurley Medical Center Current Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Oct 9, 2024 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Jan 21, 2019 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Feb 2, 2019 Accepting new patients
Hurley Medical Center CurrentSince Jan 12, 2021 Accepting new patients
Hurley Medical Center Diagnostic Radiology CurrentSince Jan 12, 2021 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Oct 9, 2024 Accepting new patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Jul 30, 2019 Accepting new patients
Punxsutawney Area Hospital Inc Current Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 1, 2025 Accepting new patients
Pinnacle Healthcare LLC Diagnostic Radiology CurrentSince Apr 14, 2024 Accepting new patients
Imaging Subspecialists of North Jersey, LLC Diagnostic Radiology CurrentSince Oct 20, 2024 Accepting new patients
Bon Secours Diagnostic Imaging Diagnostic Radiology CurrentSince Oct 9, 2024 Accepting new patients
Coastal Imaging LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Jul 14, 2021 Accepting new patients
Ultramobile Imaging Inc CurrentSince Aug 2, 2024 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince Aug 30, 2020 Accepting new patients
University of Penn-Medical Group CurrentSince Nov 1, 2024 Accepting new patients
Cooperative Healthcare Services Inc Diagnostic Radiology CurrentSince Oct 13, 2025 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Dec 25, 2018 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Feb 18, 2025 Accepting new patients
Garden State Healthcare Associates, LLC CurrentSince Sep 6, 2015 Accepting new patients
Einstein Practice Plan Inc CurrentSince Apr 1, 2025 Accepting new patients
Grandview Radiology Associates Diagnostic Radiology CurrentSince Nov 15, 2024 Accepting new patients
Advanced Radiology Solutions Diagnostic Radiology CurrentSince Apr 28, 2025 Accepting new patients
Meritus Medical Center Inc Diagnostic Radiology CurrentSince Oct 2, 2024 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Aug 1, 2020 Accepting new patients
Radiology Associates of Southwest Louisiana Diagnostic Radiology CurrentSince Apr 1, 2020 Accepting new patients
Zwanger & Pesiri Radiology Group, LLP Diagnostic Radiology CurrentSince May 25, 2024 Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology CurrentSince Jun 17, 2021 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology CurrentSince Jun 20, 2018 Accepting new patients
Cambria Somerset Radiology & Nuclear Medicine Group, Inc. Diagnostic Radiology CurrentSince Oct 20, 2024 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Dec 10, 2024 Accepting new patients
Renaissance Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Apr 19, 2019 Accepting new patients
Punxsutawney Area Hospital Inc CurrentSince Sep 8, 2025 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jan 11, 2019 Accepting new patients
Wellspan Medical Group Past Accepting new patients
Potomac Radiology & Imaging Associates Inc Diagnostic Radiology Past Accepting new patients
Second Avenue MRI LLC Diagnostic Radiology PastSince Jul 19, 2014 Accepting new patients
North Pittsburgh Imaging Specialists LLC Diagnostic Radiology PastSince Apr 30, 2003 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
Millennium Medical Imaging PC Diagnostic Radiology Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Louisiana Pet Imaging of Alexandria, LLC Past Accepting new patients
Virtual Radiologic Professionals of Texas I, P.a. Diagnostic Radiology Past Accepting new patients
Diagnostic Imaging Inc Diagnostic Radiology Past Accepting new patients
Northern Virginia Radiology Consultants, PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 138)

3648 W Anthem Way
Ste A100
Anthem, AZ 85086
Phone (623) 434-6444

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1076 W Chandler Blvd
Ste 120
Chandler, AZ 85224
Phone (480) 821-9198

665 N Gilbert Rd
Ste 154
Gilbert, AZ 85234
Phone (480) 507-4500

1900 N Higley Rd
Gilbert, AZ 85234
Phone (480) 543-2000

3645 S Rome St
Ste 101
Gilbert, AZ 85297

5605 W Eugie Ave
Ste 110
Glendale, AZ 85304
Phone (602) 938-2002

5555 W Thunderbird Rd
Glendale, AZ 85306
Phone (602) 588-5555

18275 N 59th Ave
Ste 168K
Glendale, AZ 85308
Phone (602) 889-1977

5601 W Eugie Ave
Ste 102
Glendale, AZ 85304
Phone (602) 588-3420

6220 W Bell Rd
Ste 110
Glendale, AZ 85308
Phone (602) 547-7230

5310 W Thunderbird Rd
Ste 100
Glendale, AZ 85306
Phone (602) 978-0892

13555 W McDowell Rd
Ste 106
Goodyear, AZ 85395
Phone (623) 535-0917

17900 N Porter Rd
Maricopa, AZ 85138
Phone (520) 233-2500

6644 E Baywood Ave
Mesa, AZ 85206
Phone (480) 321-2000

1052 E McKellips Rd
Mesa, AZ 85203
Phone (480) 425-5080

6424 E Broadway Rd
Ste 101
Mesa, AZ 85206
Phone (602) 830-0619

1940 S Country Club Dr
Ste 101
Mesa, AZ 85210
Phone (480) 476-8800

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

6553 E Baywood Ave
Ste 102
Mesa, AZ 85206
Phone (480) 268-7600

1450 S Dobson Rd
Ste A100
Mesa, AZ 85202
Phone (480) 545-9779

10575 N Tatum Blvd
Ste C128
Paradise Vly, AZ 85253
Phone (480) 998-1490

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: samir.shah@westgahealth.gadirect.net
  • Direct secure messaging: sshah822224@direct.bsmhealth.org
  • Direct secure messaging: sshah745617@direct.shands.ufl.edu

Organizations & group practices 64

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.

View all 64

Hospital & facility affiliations 6

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1285600593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LLANFAIR RD",
            "address_2": "UNIT 6",
            "city": "ARDMORE",
            "state": "PA",
            "postal_code": "190032320",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044206",
            "telephone_number": "215-662-3000",
            "fax_number": "215-662-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIR",
        "middle_name": "SUNIL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD424458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2620300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.