Organization Active NPI

Varsha D. Shah, M.D.,P.a.

  • Family Medicine Physician
  • Lewisville, TX
National Provider Identifier
1376669077
Registry record updated Mar 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G0102 Issued in TX
Legal business name
VARSHA D. SHAH, M.D.,P.A.
Practice address
1175 Diane Cir
Lewisville, TX 75067-4367
Phone
(972) 436-7424
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2015

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

Authorized official

Name
Dr. Varsha D Shah, M.D.
Title
President
Phone
(972) 436-7424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X G0102 TX Primary

Addresses

Primary practice location

1175 Diane Cir
Lewisville, TX 75067-4367

Mailing address

1175 Diane Cir
Lewisville, TX 75067-4367
Phone (972) 436-7424

Other identifiers 1

IdentifierTypeStateIssuer
0077QFOtherTXBLUE CROSS

Other names 1

  • Family Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

131 Degan Ave
Ste 202
Lewisville, TX 75057
Phone (972) 436-5539

1175 Diane Cir
Lewisville, TX 75067
Phone (972) 436-7424

535 W Purnell Rd
Ste 180
Lewisville, TX 75057
Phone (972) 436-7424

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426982400000",
    "number": "1376669077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 DIANE CIR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674367",
            "telephone_number": "972-436-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 DIANE CIR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750674367",
            "telephone_number": "972-436-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARSHA D. SHAH, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2015-03-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "VARSHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-436-7424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G0102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0077QF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.