Individual provider Active NPI

Selam B Shah, FNP-C

  • Family Nurse Practitioner
  • Boston, MA
National Provider Identifier
1407692775
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN2372400 Issued in MA
Practice address
801 Massachusetts Ave
Boston, MA 02118-2605
Phone
(617) 414-5951
Fax
(617) 414-9201
NPI assigned
Jul 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN2372400 MA Primary
Registered Nurse 163W00000X RN2372400 MA

Addresses

Primary practice location

801 Massachusetts Ave
Boston, MA 02118-2605

Mailing address

801 Massachusetts Ave
Boston, MA 02118-2605
Phone (617) 414-5951

Other practice location 1

222 Main St
Wilmington, MA 01887-2341
Phone (978) 658-3377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023001496 MA Practitioner - Nurse Practitioner 5799218244 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Massachusetts, LLCGroup PAC ID 2264594944, 106 clinicians
Hallmark Health Medical Associates IncGroup PAC ID 4385638782, 151 clinicians

Practice addresses (Care Compare)

222 Main St
Wilmington, MA 01887-2341
Phone (866) 389-2727

425 Revere St
Revere, MA 02151-4543
Phone (781) 665-6606

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 15, 2024 Accepting new patients
Evans Medical Foundation, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Boston Medical Center Corporation Current Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 15, 2024 Accepting new patients
Carbon Health Medical Group of Massachusetts PC CurrentSince Nov 1, 2024 Accepting new patients
NVR & SDD Convenient Care PC CurrentSince Oct 8, 2024 Accepting new patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Jan 12, 2026 Accepting new patients
Carbon Health Medical Group of California PC PastSince Oct 1, 2024 Accepting new patients

Locations

960 Massachusetts Ave
Ste 2
Boston, MA 02118

88 Newton St
Boston, MA 02118
Phone (617) 638-7350

801 Massachusetts Ave
Ste 6C
Boston, MA 02118

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

137 Turnpike St
North Andover, MA 01845

339 Squire Rd
Ste 130
Revere, MA 02151
Phone (617) 580-9116

801 Massachusetts Ave
Roxbury, MA 02118
Phone (617) 414-4238

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

222 Main St
Wilmington, MA 01887
Phone (855) 389-2727

Interoperability endpoints

  • Direct secure messaging: sshah257297@direct.bmc.masshiway.net

Organizations & group practices 9

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.

Hospital & facility affiliations 9

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": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1407692775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182605",
            "telephone_number": "617-414-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MASSACHUSETTS AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182605",
            "telephone_number": "617-414-5951",
            "fax_number": "617-414-9201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Main St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "MA",
            "postal_code": "018872341",
            "country_code": "US",
            "telephone_number": "978-658-3377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SELAM",
        "middle_name": "B",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2372400",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2372400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.