Individual provider Active NPI

Nilesh S. Shah, M.D.

  • Otolaryngology Physician
  • Seattle, WA
National Provider Identifier
1366590820
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD60086328 Issued in WA
Practice address
1536 N 115TH St Ste 340
Seattle, WA 98133-8412
Phone
(206) 520-5000
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD60086328 WA Primary
Otolaryngology Physician 207Y00000X 239514 NY

Addresses

Primary practice location

1536 N 115TH St Ste 340
Seattle, WA 98133-8412

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Other identifiers 1

IdentifierTypeStateIssuer
1366590820MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20090930000755 WA Practitioner - Otolaryngology 3678619855 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

10330 Meridian Ave N
Suite 190
Seattle, WA 98133-9484
Phone (206) 368-6360

1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500

1570 N 115TH St
Seattle, WA 98133-8401
Phone (206) 306-2800

1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.85 of 100Reported as apm
Quality
74.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239514NYMDOtolaryngology Physician
MD60086328WAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince Sep 1, 2024 Accepting new patients
University of Washington Current Accepting new patients
University of Washington CurrentSince Sep 1, 2024 Accepting new patients
The Association of University Physicians CurrentSince Nov 1, 2019 Accepting new patients

Locations

1536 N 115th St
Ste 330
Seattle, WA 98133
Phone (206) 365-0111

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 685-5648

1455 NW Leary Way
Ste 350
Seattle, WA 98107
Phone (206) 782-3383

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

10330 Meridian Ave N
Ste 270
Seattle, WA 98133
Phone (206) 368-6360

10330 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 368-6644

1536 N 115th St
Ste 340
Seattle, WA 98133
Phone (206) 525-2525

Interoperability endpoints

  • Direct secure messaging: nshah103040@direct.ehre.uwmedicine.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1366590820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N 115TH ST STE 340",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338412",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NILESH",
        "middle_name": "S.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD60086328",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "239514",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366590820",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.