Individual provider Active NPI

Neepa Rajnikant Shah, MD

  • Internal Medicine Physician
  • Plano, TX
National Provider Identifier
1316934862
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P4109 Issued in TX
Practice address
4001 W 15TH St Ste 245
Plano, TX 75093-5839
Phone
(972) 596-5222
Fax
(972) 596-5291
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34040 AZ
Internal Medicine Physician 207R00000X P4109 TX Primary

Addresses

Primary practice location

4001 W 15TH St Ste 245
Plano, TX 75093-5839

Mailing address

4001 W 15TH St Ste 245
Plano, TX 75093-5839
Phone (972) 596-5222

Other identifiers 1

IdentifierTypeStateIssuer
320202001MedicaidTX

Other names 1

  • Dr. Neepa Rajnikant Mehta Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130322000368 TX Practitioner - Internal Medicine 8628043247 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34040AZMDInternal Medicine Physician
P4109TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Clinic of North Texas, PLLC Internal Medicine Current Accepting new patients
Medical Clinic of North Texas, PLLC Internal Medicine CurrentSince Mar 1, 2013 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Mar 1, 2013 Accepting new patients

Locations

808 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 558-3937

5501 Independence Pkwy
Ste 110
Plano, TX 75023
Phone (972) 596-1747

4001 W 15th St
Ste 245
Plano, TX 75093
Phone (972) 596-5222

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1316934862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 245",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935839",
            "telephone_number": "972-596-5222",
            "fax_number": "972-596-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 245",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935839",
            "telephone_number": "972-596-5222",
            "fax_number": "972-596-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEEPA",
        "middle_name": "RAJNIKANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "34040",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P4109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "320202001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEEPA",
            "last_name": "MEHTA",
            "middle_name": "RAJNIKANT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.