Individual provider Active NPI

Akhil B Shah, M.D.

  • Reproductive Endocrinology Physician
  • Kirkland, WA
National Provider Identifier
1396030839
Registry record updated Jun 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
MD.MD.60859659 Issued in WA
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

Updated by the provider on Jun 28, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP1-0040935TXMDObstetrics & Gynecology Physician
0101258841VAMDReproductive Endocrinology Physician
MD.MD.60859659WAMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.