Shahid Saleem Shah, M.D.
Individual provider Active NPI Family Medicine Physician · Corning, AR
NPI 1295956472 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1295956472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E5490 (AR)
- Practice address
- 1300 Creason Rd
Corning, AR 72422-1716 - Phone
- (870) 857-3399
- Fax
- (870) 857-9934
- NPI assigned
- May 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
- Sage Health Arkansas PLLC
Practice addresses (Care Compare)
6929 John F Kennedy Blvd
Suite 108
North Little Rock, AR 72116-5312
Phone (501) 235-8295
Hospital & facility affiliations
- Baptist Health Medical Center North Little Rock
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080905000352 | AR | Practitioner - Family Practice | 6406922038 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E5490 | AR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care Arkansas, P.a. | Current | Accepting new patients | |
| Southeast Arkansas Emergency Physicians LLP | Current | Accepting new patients | |
| Medexpress Urgent Care Arkansas, P.a. | Family Medicine | Current |
Accepting new patients |
| Medexpress Urgent Care Arkansas, P.a. | Current |
Accepting new patients | |
| Sage Health Arkansas PLLC | Current |
Accepting new patients | |
| Southeast Arkansas Emergency Physicians LLP | Current |
Accepting new patients | |
| Jefferson Hospital Association | Past | Accepting new patients | |
| Sherwood Urgent Care | Family Medicine | Past | Accepting new patients |
| Dr B. E. Holmes PA | Family Medicine | Past | Accepting new patients |
| Jefferson Hospital Association, Inc | Family Medicine | Past | Accepting new patients |
Locations
1850 W Main St
Ste A
Cabot, AR 72023
Phone (501) 605-0009
410 S University Ave
Ste 160
Little Rock, AR 72205
Phone (501) 255-2482
6929 John F Kennedy Blvd
Ste 104
North Little Rock, AR 72116
Phone (501) 235-8295
6929 John F Kennedy Blvd
Ste 108
North Little Rock, AR 72116
Phone (501) 235-8295
1600 W 40th Ave
Pine Bluff, AR 71603
Phone (870) 541-7100
511 W Main St
Russellville, AR 72801
Phone (479) 223-5130
1160 S 40th St
Springdale, AR 72762
Phone (479) 750-2971
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Interoperability endpoints
- shahid.shah.1@27478.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E5490 | AR | Yes |
Addresses
Primary practice location
1300 Creason Rd
Corning, AR 72422-1716
Mailing address
1300 Creason Rd
Corning, AR 72422-1716
Phone (870) 857-3399
Other practice location 1
1850 W Main St Ste A
Cabot, AR 72023-2747
Phone (501) 605-0009
Other providers in Corning, AR
- Shray Ann Ricker
- Courtney Mackenize Rigdon
- Anthony Garrett Rowe
- Samantha Joann Scheffler
- Carletta Denise Scobey
- Shanika Lynn Shavers
- Monica Lynn Shelton
- Garrett L Shepard
- Natalie Rene Shirley
- Cynthia A Silvestre
All providers in Corning, AR · Family Medicine Physician in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.