Active NPI
Akhil B Shah, M.D.
- Reproductive Endocrinology Physician
- Kirkland, WA
National Provider Identifier
1396030839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD.MD.60859659
- Practice address
- 12333 NE 130TH LN
Kirkland, WA 98034 - Phone
- (206) 301-5000
- NPI assigned
- Jun 13, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | MD.MD.60859659 | WA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | BP1-0040935 | TX | |
| Reproductive Endocrinology Physician | 207VE0102X | 0101258841 | VA |
Addresses
Primary practice location
12333 NE 130TH LN
Kirkland, WA 98034
Mailing address
601 Colley Ave
Suite 414
Norfolk, VA 23507
Phone (757) 446-7119
Other practice location 1
601 Colley Ave
Suite 414
Norfolk, VA 23507
Phone (757) 446-7119
Other practice location 2
1505 Westlake Ave N Ste 400
Seattle, WA 98109-6211
Phone (206) 301-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BP1-0040935 | TX | MD | Obstetrics & Gynecology Physician |
| 0101258841 | VA | MD | Reproductive Endocrinology Physician |
| MD.MD.60859659 | WA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients | |
| Seattle Reproductive Medicine | Reproductive Endocrinology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Reproductive Endocrinology Physician
- Seattle, WA
- NPI 1366597932
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1396030839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 COLLEY AVE",
"address_2": "SUITE 414",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23507",
"telephone_number": "757-446-7119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98034",
"telephone_number": "206-301-5000"
}
],
"practiceLocations": [
{
"address_1": "601 Colley Ave",
"address_2": "Suite 414",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "23507",
"country_code": "US",
"telephone_number": "757-446-7119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 Westlake Ave N Ste 400",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981096211",
"country_code": "US",
"telephone_number": "206-301-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "AKHIL",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-13",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "WA",
"license": "MD.MD.60859659",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "BP1-0040935",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "VA",
"license": "0101258841",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.