Individual provider Active NPI

Aayushma Shah, MD

  • Internal Medicine Physician
  • Leitchfield, KY
National Provider Identifier
1316506850
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
56481 Issued in KY
Practice address
912 Wallace Ave Ste 101
Leitchfield, KY 42754-2405
Phone
(270) 259-9316
Fax
(270) 259-6571
NPI assigned
Jun 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 56481 KY Primary

Addresses

Primary practice location

912 Wallace Ave Ste 101
Leitchfield, KY 42754-2405

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

910 Wallace Ave
Leitchfield, KY 42754-2414
Phone (270) 259-9555

Other practice location 2

912 Wallace Ave Ste 102
Leitchfield, KY 42754-2405
Phone (270) 259-8888

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address ashah117457@direct.owensborohealth.org
Direct Messaging Address ashah117457@direct.owensborohealth.org
Direct Messaging Address ashah117457@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20220907001570 KY Practitioner - Internal Medicine 2264768589 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PT Pros, IncGroup PAC ID 0143139337, shared by 14 NPIs, 263 clinicians

Practice addresses (Care Compare)

201 S Main St
Leitchfield, KY 42754-1425
Phone (270) 230-1729

912 Wallace Ave
Suite 101
Leitchfield, KY 42754-2405
Phone (270) 259-9316

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56481KYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Owensboro Health Medical Group Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Owensboro Health Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

912 Wallace Ave
Ste 102
Leitchfield, KY 42754
Phone (270) 259-2878

910 Wallace Ave
Ste 106
Leitchfield, KY 42754

912 Wallace Ave
Ste 101
Leitchfield, KY 42754
Phone (270) 259-9316

910 Wallace Ave
Leitchfield, KY 42754
Phone (270) 259-3035

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

Organizations & group practices 4

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 5

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": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1316506850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 WALLACE AVE STE 101",
            "city": "LEITCHFIELD",
            "state": "KY",
            "postal_code": "427542405",
            "telephone_number": "270-259-9316",
            "fax_number": "270-259-6571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 Wallace Ave",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542414",
            "country_code": "US",
            "telephone_number": "270-259-9555",
            "fax_number": "270-259-1669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Wallace Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542405",
            "country_code": "US",
            "telephone_number": "270-259-8888",
            "fax_number": "270-259-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AAYUSHMA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "56481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashah117457@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "912 Wallace Ave Ste 101",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashah117457@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "910 Wallace Ave",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashah117457@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "912 Wallace Ave Ste 102",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leitchfield, KY

Sources for this page

Verify at the official NPI Registry.