Organization Active NPI

Rajesh Shah, MD, LLC

  • Specialist
  • Baltimore, MD
National Provider Identifier
1356084685
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RAJESH SHAH, MD, LLC
Practice address
821 N Eutaw St Ste 305
Baltimore, MD 21201-6303
Phone
(410) 669-9318
NPI assigned
Apr 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Saira Salim
Title
Billing Manager
Phone
(443) 805-6184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

821 N Eutaw St Ste 305
Baltimore, MD 21201-6303

Mailing address

821 N Eutaw St Ste 305
Baltimore, MD 21201-6303
Phone (410) 669-9318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220523000005 MD Part B Supplier - Clinic/Group Practice 4486031911 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD; Ellicott City, MD; Frederick, MD

National Provider Directory

National Provider Directory

Locations

3290 North Ridge Rd
Ste 100
Ellicott City, MD 21043
Phone (410) 313-9292

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1356084685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016303",
            "telephone_number": "410-669-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 N EUTAW ST STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212016303",
            "telephone_number": "410-669-9318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESH SHAH, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "SALIM",
        "authorized_official_first_name": "SAIRA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "443-805-6184"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.