Shahid Saleem Shah, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E5490 Issued in AR

Practice address

1300 Creason Rd
Corning, AR 72422-1716

Phone

(870) 857-3399

Fax

(870) 857-9934

NPI assigned

May 2, 2007

Last updated

Jun 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Family Practice

Education

Other, 2008

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Sage Health Arkansas PLLCGroup PAC ID 1658720297, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shahid.shah.1@27478.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Health Arkansas PLLC

  • Primary Care Clinic/Center
  • North Little Rock, AR
  • NPI 1366153918
  Medicare reassignment Care Compare group NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Fayetteville, N College Avenue

  • Urgent Care Clinic/Center
  • Fayetteville, AR
  • NPI 1578984357
  Medicare reassignment NPD
• Southeast Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • Pine Bluff, AR
  • NPI 1922475078
  Medicare reassignment NPD
• Urgent Team of Arkansas Physicians, LLC

  • Rural Health Clinic/Center
  • Searcy, AR
  • NPI 1992041370
  Medicare reassignment
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Pine Bluff, S Olive St

  • Urgent Care Clinic/Center
  • Pine Bluff, AR
  • NPI 1154784882

  Family Medicine

  NPD
• Medexpress Urgent Care Arkansas, P.a.

  dba MedExpress Urgent Care - Bentonville, SE Walton Blvd

  • Urgent Care Clinic/Center
  • Bentonville, AR
  • NPI 1376964056
  NPD
• Southeast Arkansas Emergency Physicians LLP

  • Emergency Medicine Physician
  • Pine Bluff, AR
  • NPI 1467817411
  NPD
• Dr B. E. Holmes PA

  • Family Medicine Physician
  • Lonoke, AR
  • NPI 1336353457
  NPD (past)
• Jefferson Hospital Association

  dba Shah Family Medicine

  • Clinic/Center
  • Pine Bluff, AR
  • NPI 1730351941
  NPD (past)
• Jefferson Hospital Association, Inc

  • Rural Health Clinic/Center
  • Crossett, AR
  • NPI 1225799646

  Family Medicine

  NPD (past)
• Sherwood Urgent Care

  • Family Medicine Physician
  • Searcy, AR
  • NPI 1649201286
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health

  dba Baptist Health Medical Center-North Little Rock

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1295956472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 CREASON RD",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724221716",
            "telephone_number": "870-857-3399",
            "fax_number": "870-857-9934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CREASON RD",
            "city": "CORNING",
            "state": "AR",
            "postal_code": "724221716",
            "telephone_number": "870-857-3399",
            "fax_number": "870-857-9934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1850 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Cabot",
            "state": "AR",
            "postal_code": "720232747",
            "country_code": "US",
            "telephone_number": "501-605-0009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAHID",
        "middle_name": "SALEEM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E5490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shray Ann Ricker
• Courtney Mackenize Rigdon, LPN
• Anthony Garrett Rowe, PA-C
• Samantha Joann Scheffler
• Carletta Denise Scobey, CCC-SLP
• Shanika Lynn Shavers
• Monica Lynn Shelton, LPC
• Garrett L Shepard, LCSW
• Natalie Rene Shirley, PTA
• Cynthia A Silvestre, M.D.

• Family Medicine Physician in Corning, AR
• Providers in Corning, AR by specialty
• Family Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.