NPIMap

Individual provider Active NPI

Vatsala Niranjan Shah, MD

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1376535328
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18903 Issued in OK
Practice address
4301 NW 63Rd St
#205
Oklahoma City, OK 73116-1549
Phone
(405) 242-6494
Fax
(405) 242-6496
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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 18903 OK Primary

Addresses

Primary practice location

4301 NW 63Rd St
#205
Oklahoma City, OK 73116-1549

Mailing address

1225 W Main
#205
Norman, OK 73069-6851
Phone (405) 292-5500

Other identifiers 1

IdentifierTypeStateIssuer
100138360CMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100427000660 OK Practitioner - Internal Medicine 3779610530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4301 NW 63Rd St
Oklahoma City, OK 73116-1504
Phone (405) 242-6494

Hospital & facility affiliations

  • Angels Care Home Health of Oklahoma Home health agency, Oklahoma City, OK, CCN 377447
  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037
  • Integris Baptist Medical Center, Inc Hospital, Oklahoma City, OK, CCN 370028
  • Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
  • Norman Regional Hospital, Norman, OK, CCN 370008

Merit-based Incentive Payment System (MIPS)

Final score
92.32 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
74.4

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18903OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Medical Associates PLLC Internal Medicine CurrentSince Oct 1, 2000 Accepting new patients
Summit Medical Center Past Accepting new patients
Terry Copeland, M.D., PLLC Internal Medicine Past Accepting new patients
Retina Vitreous Center, PLLC Past Accepting new patients
Centennial Health, PC PastSince May 1, 1992 Accepting new patients
National Family Medical Associates, LLC Internal Medicine PastSince Feb 1, 2023 Accepting new patients

Locations

1225 W Main St
Ste 205
Norman, OK 73069
Phone (405) 445-4450

4301 NW 63rd St
Ste 205
Oklahoma City, OK 73116
Phone (405) 242-6494

Interoperability endpoints

  • Direct secure messaging: admin@drvnshah.e-mdsdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1376535328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W MAIN",
            "address_2": "#205",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730696851",
            "telephone_number": "405-292-5500",
            "fax_number": "405-292-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 NW 63RD ST",
            "address_2": "#205",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731161549",
            "telephone_number": "405-242-6494",
            "fax_number": "405-242-6496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VATSALA",
        "middle_name": "NIRANJAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138360C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.