Individual provider Active NPI

Mukesh P Shah, M.D.

  • Internal Medicine Physician
  • Whittier, CA
National Provider Identifier
1356373252
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A35342 Issued in CA
Practice address
12462 Putnam St #208
Whittier, CA 90602-2434
Phone
(562) 789-5470
NPI assigned
Jul 7, 2006
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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 A35342 CA Primary

Addresses

Primary practice location

12462 Putnam St #208
Whittier, CA 90602-2434

Mailing address

7957 Painter Ave Ste 201
Whittier, CA 90602-2434
Phone (562) 696-5022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080226000736 CA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Other (Physician) 4880673490 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7957 Painter Ave
Whittier, CA 90602-2434
Phone (562) 696-5022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35342CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pih Health Whittier Hospital CurrentSince Jul 26, 2014 Accepting new patients
Pih Health Whittier Hospital Current Accepting new patients
Whittier Pulmonary and Critical Care Medical Group, Inc. Pulmonary Disease CurrentSince Jun 1, 2007 Accepting new patients
Whittier Sleep Center CurrentSince Apr 1, 2001 Accepting new patients
Ahmc Whittier Hospital Medical Center LP Past Accepting new patients
Intercommunity Family Medical Asoociates, Inc. Past Accepting new patients

Locations

12291 Washington Blvd
Whittier, CA 90606
Phone (213) 698-2541

12401 Washington Blvd
Whittier, CA 90602
Phone (562) 698-0611

12462 Putnam St
Ste 208
Whittier, CA 90602
Phone (562) 789-5470

7957 Painter Ave
Ste 201
Whittier, CA 90602
Phone (562) 696-5022

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1356373252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7957 PAINTER AVE STE 201",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022434",
            "telephone_number": "562-696-5022",
            "fax_number": "562-696-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST #208",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906022434",
            "telephone_number": "562-789-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MUKESH",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A35342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.