Grishma S Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR.0039924 Issued in CO

Practice address

220 E Rogers Rd
Longmont, CO 80501-6027

Phone

(303) 776-3250

Fax

(303) 682-9369

NPI assigned

Dec 19, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grishma.shah@sfhc.eclinicaldirectplus.com

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.

• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1275530388
  Medicare reassignment NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Fort Morgan, CO
  • NPI 1740947407
  NPD
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Aurora, CO
  • NPI 1134766553
  NPD (past)
• Salud Family Health

  dba Salud Family Health Centers

  • Federally Qualified Health Center (FQHC)
  • Fort Lupton, CO
  • NPI 1386777266
  NPD (past)
• Salud Family Health

  • Federally Qualified Health Center (FQHC)
  • Frederick, CO
  • NPI 1972636504
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1336125616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 S ROLLIE AVE",
            "address_2": "BILLING DEPT - CREDENTIALIST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211508",
            "telephone_number": "303-286-4560",
            "fax_number": "303-286-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROGERS RD",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016027",
            "telephone_number": "303-776-3250",
            "fax_number": "303-682-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "GRISHMA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR.0039924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42638542",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jane Seymour, MSW
• SGM Medical Corporation (2nd Family)
• Shelly Rae Shadrick, PAC
• Harvey Shaffer, DVM
• Marissa Shaffer, MA, LPC, R-DMT
• Nirav R Shah, M.D
• Traci Shahan, WHNP-BC
• Cheri Shanahan, CCC-SLP
• Roberta L Shanahan, PHARM D
• Kasey L Shannon

• Family Medicine Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.