Kiran P Shah, MD, PA

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

KIRAN P SHAH, MD, PA

Practice address

4217 Marsh Ridge Rd
Suite 120
Carrollton, TX 75010

Phone

(972) 306-6300

Fax

(972) 306-6500

NPI assigned

Jun 16, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kiran P Shah, MDNPI 1255374302

Title

Managing Partner

Phone

(972) 306-6300

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kiran Shah, MD

  • Neurology Physician
  • Carrollton, TX
  • NPI 1255374302
  Medicare reassignment Care Compare group NPD Authorized official
• Alpa Shah, MD

  • Neurology Physician
  • Carrollton, TX
  • NPI 1255474862
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1306880505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-306-6300",
            "fax_number": "972-306-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 MARSH RIDGE RD",
            "address_2": "SUITE 120",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "972-306-6300",
            "fax_number": "972-306-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN P SHAH, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KIRAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "972-306-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0090QG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0021CF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyara Lakaylan King
• Madison Shariee King
• Kingdom Med Supply LLC
• Carolyn Kingsley
• Daron Ray Kinney, MS, ATC, LAT
• Papiereygan Klaff, FNP-BC
• Brittany Klein
• Kerri Klentzman
• Erik Klintmalm, DMD
• Ryan Austin Klitgaard, MD

• Neurology Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.