Rajiv Shah, M.D

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

52-94765-1205 Issued in UT

Practice address

6750 S Highland Drive
Cottonwood Heights, UT 84121-1829

Phone

(801) 685-7246

Fax

(801) 747-5487

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in UT

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 1

Specialty

Interventional Pain Management

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine Care Center, LLCGroup PAC ID 4789682352, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

24.59 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

81.96

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Spine Care Center, LLC

  • Interventional Pain Medicine Physician
  • Cottonwood Heights, UT
  • NPI 1992736557
  Medicare reassignment Care Compare group NPD
• Millcreek Anesthesia PC

  • Anesthesiology Physician
  • Salt Lake City, UT
  • NPI 1306879820
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1285664185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6750 S HIGHLAND DRIVE",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841211829",
            "telephone_number": "801-685-7246",
            "fax_number": "801-747-5487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6750 S HIGHLAND DRIVE",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841211829",
            "telephone_number": "801-685-7246",
            "fax_number": "801-747-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAJIV",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "UT",
            "license": "52-94765-1205",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "UT",
            "license": "52-94765-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD NUMBER",
            "identifier": "P00050624",
            "state": "UT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D5067",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elaina Schmid
• Kari Jordan Schott
• Corina Linda Schroeder
• Shayla Sell
• Megan Elaine Sewell, LAC
• Fatemeh Sharifzadeh
• Nicole Shaw
• Elizabeth Ann Shawcroft
• Tanisha R Shedden, LCSW
• Robert Willard Shingleton, DPT

• Interventional Pain Medicine Physician in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Interventional Pain Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; 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.

Verify at the official NPI Registry.