Organization Active NPI

Keyur Shah, M.D., P.C.

  • Surgery Physician
  • Reston, VA
National Provider Identifier
1376763995
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KEYUR SHAH, M.D., P.C.
Practice address
1800 Town Center Dr
Suite 218
Reston, VA 20190-3215
Phone
(703) 437-9535
Fax
(703) 437-9533
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Keyurkumar A Shah, M.D.
Title
President
Phone
(703) 437-9535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

1800 Town Center Dr
Suite 218
Reston, VA 20190-3215

Mailing address

21736 Pinewood CT
Sterling, VA 20164-2300
Phone (703) 437-9535

National Provider Directory

National Provider Directory

Locations

11260 Roger Bacon Dr
Ste 203
Reston, VA 20190
Phone (703) 437-9535

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376763995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21736 PINEWOOD CT",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201642300",
            "telephone_number": "703-437-9535",
            "fax_number": "703-437-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 218",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903215",
            "telephone_number": "703-437-9535",
            "fax_number": "703-437-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEYUR SHAH, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KEYURKUMAR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-437-9535",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.