NPIMap

Individual provider Active NPI

Ravish Shah, MD

  • Nephrology Physician
  • Grove City, OH
National Provider Identifier
1285856583
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
35097802 Issued in OH
Practice address
5775 N Meadows Dr Ste D
Grove City, OH 43123-7300
Phone
(614) 224-4200
Fax
(614) 224-4207
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 35097802 OH Primary

Addresses

Primary practice location

5775 N Meadows Dr Ste D
Grove City, OH 43123-7300

Mailing address

5775 N Meadows Dr Ste D
Grove City, OH 43123-7300
Phone (614) 224-4200

Other identifiers 1

IdentifierTypeStateIssuer
0052442MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000738 OH Practitioner - Nephrology 9335310051 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Nephrology, Inc.Group PAC ID 5092709915, 12 clinicians

Practice addresses (Care Compare)

5775 N Meadows Dr
Suite D
Grove City, OH 43123-7300
Phone (614) 224-4200

Hospital & facility affiliations

  • FMC - Mt. Carmel East Dialysis facility, Columbus, OH, CCN 362657
  • FMC Pickerington Dialysis facility, Pickerington, OH, CCN 362836
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel St Ann'S Hospital, Westerville, OH, CCN 360012
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35097802OHMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vacco LLC CurrentSince Jun 22, 2018 Accepting new patients
Columbus Nephrology, Inc. Nephrology CurrentSince Jul 1, 2014 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

5825 Westbourne Ave
Columbus, OH 43213
Phone (614) 224-4200

85 McNaughten Rd
Ste 310
Columbus, OH 43213
Phone (614) 224-4200

745 W State St
Ste 520
Columbus, OH 43222
Phone (614) 224-4200

815 W Broad St
Ste 320
Columbus, OH 43222
Phone (614) 221-0222

5775 N Meadows Dr
Ste D
Grove City, OH 43123
Phone (614) 224-4200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rshah29628@direct.acumenmd.com

Organizations & group practices 3

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 9

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1285856583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 N MEADOWS DR STE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237300",
            "telephone_number": "614-224-4200",
            "fax_number": "614-224-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5775 N MEADOWS DR STE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237300",
            "telephone_number": "614-224-4200",
            "fax_number": "614-224-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAVISH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35097802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

Verify at the official NPI Registry.