Active NPI
Kena Shah, D.O.
- Allergy & Immunology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 37400027
- Practice address
- 2600 E 7TH St Unit a
Charlotte, NC 28204-4398 - Phone
- (704) 372-7900
- Fax
- (704) 376-2216
- NPI assigned
- Jun 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 90061 | SC | |
| Allergy & Immunology Physician | 207K00000X | 37400027 | NC | Primary |
Addresses
Primary practice location
2600 E 7TH St Unit a
Charlotte, NC 28204-4398
Mailing address
PO Box 63376
Charlotte, NC 28263-2012
Phone (704) 372-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, SC, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Allergy/Immunology
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Charlotte, NC 28263
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37400027 | NC | MD | Allergy & Immunology Physician |
| 90061 | SC | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Allergy & Sinus Group, PLLC | Allergy & Immunology | Current | Accepting new patients |
| Midtown Sinus Imaging, PLLC | Current | Accepting new patients |
Locations
877 Stewart Ave
Ste 5
Garden City, NY 11530
Phone (516) 794-8772
7949 Myrtle Ave
Glendale, NY 11385
Phone 21268663218309
19002 Jamaica Ave
Jamaica, NY 11423
Phone (718) 417-0207
225 E 57th St
New York, NY 10022
Phone (212) 480-4062
135 E 83rd St
Apt 1A
New York, NY 10028
Phone (212) 665-0200
55 E 87th St
Ste 1C
New York, NY 10128
Phone (212) 348-4300
1575 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 200-1835
1500 Victory Blvd
Staten Island, NY 10301
Phone (718) 556-5550
Interoperability endpoints
- kshah2954167@carolinashealthcaresystem.direct-ci.com
- kena.shah.p1@direct.caac.nextgenshare.com
Organizations & group practices 2
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.
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1033274147
-
- Diagnostic Radiology Physician
- New York, NY
- NPI 1801070412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1356604169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63376",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282632012",
"telephone_number": "704-372-7900",
"fax_number": "704-376-2216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 E 7TH ST UNIT A",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282044398",
"telephone_number": "704-372-7900",
"fax_number": "704-376-2216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KENA",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-18",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "SC",
"license": "90061",
"primary": false
},
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NC",
"license": "37400027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.