Individual provider Active NPI

Mihir S Shah, MD

  • Urology Physician
  • Philadelphia, PA
National Provider Identifier
1366885451
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
C1-0013711 Issued in DE
Practice address
833 Chestnut St Ste 703
Philadelphia, PA 19107-4409
Phone
(215) 955-1000
NPI assigned
Apr 9, 2013
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A160936 CA
Urology Physician 208800000X MD455613 PA
Urology Physician 208800000X 25MA12170700 NJ
Urology Physician 208800000X C1-0013711 DE Primary

Addresses

Primary practice location

833 Chestnut St Ste 703
Philadelphia, PA 19107-4409

Mailing address

1025 Walnut St Ste 1100
Philadelphia, PA 19107-5001
Phone (215) 955-1416

Other practice location 1

354 Hurffville Crosskeys Rd Bldg 3
Sewell, NJ 08080-3552
Phone (844) 542-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, DE, PA, NJ4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190826002941 CA Practitioner - Urology 3678705936 Reassigns benefits to 1 organization
I20200804000077 DE Practitioner - Urology 3678705936 Reassigns benefits to 1 organization
I20200914002823 PA Practitioner - Urology 3678705936 Reassigns benefits to 4 organizations
I20240708003126 NJ Practitioner - Urology 3678705936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Rutgers New Jersey Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jefferson University PhysiciansGroup PAC ID 7911819180, 1,528 clinicians

Practice addresses (Care Compare)

1101 Chestnut St
Philadelphia, PA 19107-3619
Phone (800) 533-3669

1101 Market St
FL 19
Philadelphia, PA 19107-2926

111 S 11TH St
Philadelphia, PA 19107-4824

2301 S Broad St
Philadelphia, PA 19148-3542
Phone (215) 952-7444

3 Crescent Dr
Suite 100
Philadelphia, PA 19112-1016
Phone (215) 955-2392

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

925 Chestnut St
Philadelphia, PA 19107-4204

925 Chestnut St
Suite 3
Philadelphia, PA 19107-4216
Phone (215) 955-8874

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A160936CAMDUrology Physician
25MA12170700NJMDUrology Physician
MD455613PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Practice Plan Inc CurrentSince Sep 1, 2022 Accepting new patients
Jefferson University Physicians Urology CurrentSince Sep 12, 2022 Accepting new patients
Christiana Care Health Services, Inc Urology CurrentSince Aug 24, 2020 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 1, 2019 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Einstein Practice Plan Inc CurrentSince Sep 1, 2022 Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 9, 2020 Accepting new patients
Einstein Practice Plan Inc Current Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 24, 2020 Accepting new patients
Usc Care Medical Group, Inc Urology CurrentSince Jun 1, 2019 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jul 1, 2024 Accepting new patients
Einstein Practice Plan,Inc Urology Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Thomas Jefferson University Hospitals Inc Past Accepting new patients
Einstein Practice Plan Inc Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1516 San Pablo St
Los Angeles, CA 90033
Phone (323) 276-3705

1516 San Pablo St
Fl 5
Los Angeles, CA 90033
Phone (323) 276-3707

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

501 W 14th St
Ste 4E18
Wilmington, DE 19801
Phone (302) 320-9420

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

354 Hurffville Crosskeys Rd
Bldg 3
Sewell, NJ 08080
Phone (215) 481-6253

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

1101 Chestnut St
#11
Philadelphia, PA 19107

1101 Market St
Fl 19
Philadelphia, PA 19107
Phone (215) 481-6836

3 Crescent Dr
Fl 2
Philadelphia, PA 19112
Phone (215) 503-7096

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

833 Chestnut St
Ste 703
Philadelphia, PA 19107
Phone (215) 955-1000

925 Chestnut St
Fl 6
Philadelphia, PA 19107
Phone (215) 955-6760

3941 Commerce Ave
Willow Grove, PA 19090
Phone (215) 481-4000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 3

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1366885451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 WALNUT ST STE 1100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075001",
            "telephone_number": "215-955-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 CHESTNUT ST STE 703",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074409",
            "telephone_number": "215-955-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Hurffville Crosskeys Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080803552",
            "country_code": "US",
            "telephone_number": "844-542-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MIHIR",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-09",
        "last_updated": "2024-04-25",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A160936",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD455613",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NJ",
            "license": "25MA12170700",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "DE",
            "license": "C1-0013711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.