Active NPI
Mukul R Shah, M.D.
- Neonatal-Perinatal Medicine Physician
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 33080
- Practice address
- 4123 Dutchmans LN Ste 606
Louisville, KY 40207-4725 - Phone
- (502) 896-2500
- Fax
- (502) 896-2527
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 33080 | KY | Primary |
Addresses
Primary practice location
4123 Dutchmans LN Ste 606
Louisville, KY 40207-4725
Mailing address
PO Box 776879
Chicago, IL 60677-6879
Phone (502) 272-5395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Current | Accepting new patients | |
| Norton Children'S Medical Group, LLC | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Norton Childrens Medical Group, LLC | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Norton Children'S Medical Group, LLC | Current | Accepting new patients | |
| Community Medical Associates, Inc. | Neonatal-Perinatal Medicine | Current | Accepting new patients |
| Frankfort Infant & Neonatal Experts, PLLC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
| Norton Hospitals, Inc | Past | Accepting new patients | |
| Neonatal Intensive Care Experts PLLC | Neonatal-Perinatal Medicine | Past | Accepting new patients |
Locations
2051 Clevidence Blvd
Ste A
Clarksville, IN 47129
Phone (812) 280-1720
2051 Clevidence Blvd
Ste B
Clarksville, IN 47129
Phone (502) 629-2030
1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181
4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165
4123 Dutchmans Ln
Ste 301
Louisville, KY 40207
Phone (502) 896-2500
601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670
Interoperability endpoints
- mshah12643@direct.nortonhealthcare.org
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Louisville, KY
- NPI 1306983762
-
- Psychiatry Physician
- Louisville, KY
- NPI 1457999096
-
- Pediatrics Physician
- Louisville, KY
- NPI 1326695255
IN, Neonatal-Perinatal Medicine
-
- Orthopaedic Surgery of the Spine Physician
- Louisville, KY
- NPI 1437382074
Neonatal-Perinatal Medicine
-
- Pulmonary Disease Physician
- Louisville, KY
- NPI 1649636630
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1881192409
-
- Neonatal-Perinatal Medicine Physician
- Louisville, KY
- NPI 1144862301
-
- Pediatric Radiology Physician
- Louisville, KY
- NPI 1659913812
-
- Neonatal-Perinatal Medicine Physician
- Louisville, KY
- NPI 1750544904
-
- Neonatal-Perinatal Medicine Physician
- Louisville, KY
- NPI 1962596866
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1891799227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1295704385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 776879",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606776879",
"telephone_number": "502-272-5395",
"fax_number": "502-272-5339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4123 DUTCHMANS LN STE 606",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074725",
"telephone_number": "502-896-2500",
"fax_number": "502-896-2527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MUKUL",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "KY",
"license": "33080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.