Individual provider Active NPI

Ruchir Ashwinbhai Shah, M.D.

  • Neurology Physician
  • Morristown, NJ
National Provider Identifier
1396033437
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MA11699900 Issued in NJ
Practice address
100 Madison Ave
Morristown, NJ 07960-6136
Phone
(973) 971-5198
Fax
(973) 605-8854
NPI assigned
Jul 11, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 2015-00864 NC
Neurology Physician 2084N0400X ME143061 FL
Neurology Physician 2084N0400X 337993 LA
Neurology Physician 2084N0400X 53888 TN
Neurology Physician 2084N0400X 01082180A IN
Vascular Neurology Physician 2084V0102X 53888 TN
Vascular Neurology Physician 2084V0102X 2015-00864 NC
Neurology Physician 2084N0400X 25MA11699900 NJ Primary

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960-6136

Mailing address

465 South St Ste 103
Morristown, NJ 07960-6442
Phone (973) 971-5198

Other practice location 1

15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone (985) 230-1683

Other practice location 2

200 Hawthorne Ln
Charlotte, NC 28204-2515
Phone (704) 384-9437

Other practice location 3

979 E 3rd St
Suite C-830
Chattanooga, TN 37403-2136
Phone (423) 778-9001

Other practice location 4

1140 Route 72 W
Stafford Township, NJ 08050-2412
Phone (732) 897-7107

Other identifiers 2

IdentifierTypeStateIssuer
ME143061OtherFLSTATE LICENSE
337993OtherLALA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rshah16549@edirect.crh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, IL, MO, NC, FL, LA, GA, NJ, WA9 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20160830000695 TN Practitioner - Neurology 1557656501 Reassigns benefits to 3 organizations
I20191223000858 IL Practitioner - Neurology 1557656501 Reassigns benefits to 1 organization
I20200806000541 MO Practitioner - Neurology 1557656501 Reassigns benefits to 2 organizations
I20200831000380 NC Practitioner - Neurology 1557656501 Reassigns benefits to 2 organizations
I20220615002536 FL Practitioner - Neurology 1557656501 Reassigns benefits to 1 organization
I20231101000154 LA Practitioner - Neurology 1557656501 Reassigns benefits to 1 organization
I20231207001546 GA Practitioner - Neurology 1557656501 Reassigns benefits to 1 organization
I20250408002272 NJ Practitioner - Neurology 1557656501 Reassigns benefits to 2 organizations
I20250411001314 WA Practitioner - Neurology 1557656501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Practice Associates Medical GroupGroup PAC ID 5890703177, 1,412 clinicians

Practice addresses (Care Compare)

100 Madison Ave
Morristown, NJ 07960-6136
Phone (973) 971-5596

175 High St
Newton, NJ 07860-1004
Phone (973) 383-2121

19 Davis Ave
Neptune, NJ 07753-4488

1944 Route 33
Neptune, NJ 07753
Phone (732) 776-3787

1945 Route 33
Neptune, NJ 07753

30 Prospect Ave
Hackensack, NJ 07601-1915

3600 Route 66
FL 3
Neptune, NJ 07753

425 Jack Martin Blvd
Brick, NJ 08724-7732
Phone (732) 836-4504

97 W Pkwy
Pompton Plains, NJ 07444-1647
Phone (973) 931-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337993LAMDNeurology Physician
25MA11699900NJMDNeurology Physician
2015-00864NCMDVascular Neurology Physician
53888TNMDVascular Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 8, 2016 Accepting new patients
Hannibal Regional Healthcare System Inc CurrentSince May 3, 2021 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Mar 10, 2022 Accepting new patients
Chattanooga Hamilton County Hospital Authority CurrentSince Aug 8, 2016 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 31, 2025 Accepting new patients
Northern Inyo Healthcare District CurrentSince May 4, 2023 Accepting new patients
Multicare Health System Current Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Jan 31, 2025 Accepting new patients
Riverside Health System CurrentSince Dec 6, 2019 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Dec 1, 2023 Accepting new patients
SSM Regional Health Services Current Accepting new patients
Multicare Health System CurrentSince Mar 1, 2025 Accepting new patients
Practice Associates Medical Group CurrentSince May 1, 2025 Accepting new patients
Multicare Health System CurrentSince Mar 1, 2025 Accepting new patients
Vidant Medical Group LLC CurrentSince Nov 27, 2024 Accepting new patients
Riverside Health System Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Wakemed CurrentSince Oct 19, 2020 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Oct 1, 2020 Accepting new patients
Wakemed CurrentSince Oct 19, 2020 Accepting new patients
Northern Inyo Healthcare District CurrentSince May 4, 2023 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Aug 1, 2023 Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations (25 of 32)

150 Pioneer Ln
Bishop, CA 93514
Phone (760) 873-2136

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

3300 E Halifax Crossing Blvd
Deltona, FL 32725
Phone (386) 425-1800

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050

7655 Solutions Ctr
Chicago, IL 60677

375 N Wall St
Ste P520
Kankakee, IL 60901
Phone (815) 933-0194

105 S First St
Wilmington, IL 60481
Phone (815) 476-5210

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

120 Healthplex Way
Apex, NC 27502
Phone (919) 235-6525

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

8001 T W Alexander Dr
Raleigh, NC 27617
Phone (919) 350-0953

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

465 South St
Ste 103
Morristown, NJ 07960
Phone (973) 971-7130

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

1944 State Route 33
Neptune, NJ 07753
Phone (732) 776-3787

331 Newman Springs Rd
Ste 220
Red Bank, NJ 07701
Phone (732) 807-0514

Interoperability endpoints

  • Direct secure messaging: rshah1325641@direct.novanthealth.org
  • Direct secure messaging: rshah383715@direct-prd.stelizabeth.com
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602
  • Direct secure messaging: rshah552385@direct.ahsys.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJHBD

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Siskin Hospital, Siskin Hospital Therapy ServicesChattanooga, TN, CCN 443025 Hospital Corporate Director (5.55%) Jul 1, 2022
Siskin Subacute West, St. Barnabas at Siskin Hospital, Siskin WestChattanooga, TN, CCN 445008 Skilled nursing facility Corporate Director (5.55%) Jul 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 8

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": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1396033437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 SOUTH ST STE 103",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606442",
            "telephone_number": "973-971-5198",
            "fax_number": "973-605-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5198",
            "fax_number": "973-605-8854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawthorne Ln",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282042515",
            "country_code": "US",
            "telephone_number": "704-384-9437",
            "fax_number": "704-384-9440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "979 E 3rd St",
            "address_2": "Suite C-830",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374032136",
            "country_code": "US",
            "telephone_number": "423-778-9001",
            "fax_number": "423-778-4692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1140 Route 72 W",
            "address_purpose": "LOCATION",
            "city": "Stafford Township",
            "state": "NJ",
            "postal_code": "080502412",
            "country_code": "US",
            "telephone_number": "732-897-7107",
            "fax_number": "732-897-7227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RUCHIR",
        "middle_name": "ASHWINBHAI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-11",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2015-00864",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME143061",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "337993",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "53888",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01082180A",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TN",
            "license": "53888",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "NC",
            "license": "2015-00864",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MA11699900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "ME143061",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "337993",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rshah16549@edirect.crh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2400 17th St",
            "city": "Columbus",
            "state": "IN",
            "country_code": "US",
            "postal_code": "472015351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.