Individual provider Active NPI

Dipika Jayesh Shah, MD

  • Psychiatry Physician
  • Hillsboro, OH
National Provider Identifier
1316939937
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35081305 Issued in OH
Practice address
102 Te Mar Way
Hillsboro, OH 45133-8530
Phone
(937) 393-5067
Fax
(937) 393-5652
NPI assigned
Aug 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35081305 OH Primary

Addresses

Primary practice location

102 Te Mar Way
Hillsboro, OH 45133-8530

Mailing address

PO Box 637735
Cincinnati, OH 45263-7735
Phone (513) 891-1006

Other identifiers 4

IdentifierTypeStateIssuer
2355437MedicaidOH
2118046OtherOHCIGNA
000000255382OtherOHANTHEM
P00022363OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20060926000357 OH Practitioner - Psychiatry 7416952403 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1077 State Route 28
Suite 202
Milford, OH 45150-4000
Phone (216) 468-5000

25111 Country Club Blvd
Suite 290
North Olmsted, OH 44070-5330
Phone (440) 614-2520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35081305OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beckett Springs Physician Group LLC Psychiatry CurrentSince Dec 17, 2019 Accepting new patients
Beckett Springs Physician Group LLC Psychiatry CurrentSince Dec 17, 2019 Accepting new patients
Integrated Behavioral Services Inc Psychiatry PastSince Apr 1, 2001 Accepting new patients
Highland Ear Nose and Throat Clinic, Inc Past Accepting new patients
Dahar & Associates, Inc. Psychiatry Past Accepting new patients

Locations

7909 Schatz Pointe Dr
Dayton, OH 45459
Phone (937) 802-2150

8614 Shepherd Farm Dr
West Chester, OH 45069
Phone (513) 942-9500

Interoperability endpoints

  • Direct secure messaging: pbc.dipikashah@140097.advancedmd-direct.com

Organizations & group practices 7

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": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1316939937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637735",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452637735",
            "telephone_number": "513-891-1006",
            "fax_number": "513-793-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 TE MAR WAY",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338530",
            "telephone_number": "937-393-5067",
            "fax_number": "937-393-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPIKA",
        "middle_name": "JAYESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35081305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2355437",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2118046",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000255382",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00022363",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OH

Sources for this page

Verify at the official NPI Registry.