Individual provider Active NPI

Neela G. Shah, M.D.

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1407809254
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
M2801 Issued in TX
Practice address
12500 Lebanon Rd Ste 103
Frisco, TX 75035-9474
Phone
(214) 297-0297
Fax
(214) 297-0298
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M2801 TX Primary

Addresses

Primary practice location

12500 Lebanon Rd Ste 103
Frisco, TX 75035-9474

Mailing address

9330 LBJ Fwy Ste 800
Dallas, TX 75243-4310
Phone (972) 792-5700

Other identifiers 1

IdentifierTypeStateIssuer
8V2352OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060725000341 TX Practitioner - Internal Medicine 8224041934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at Houston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Frisco Center for Internal Medicine PLLCGroup PAC ID 1153624762, 2 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

12500 Lebanon Rd
Suite 103
Frisco, TX 75035-9474
Phone (214) 297-0297

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

  • Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M2801TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frisco Center for Internal Medicine, PLLC Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Women'S Internal Medicine of North Dallas Internal Medicine Past Accepting new patients

Locations

4401 Coit Rd
Ste 311
Frisco, TX 75035
Phone (214) 297-0297

12500 Lebanon Rd
Ste 103
Frisco, TX 75035
Phone (214) 297-0297

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DJIABA/Endpoint/DJIABA
  • Direct secure messaging: nshah456898@direct.sw.org
  • Direct secure messaging: neela.shah@fcim1.eclinicaldirectplus.com

Organizations & group practices 3

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 3

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1407809254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9330 LBJ FWY STE 800",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752434310",
            "telephone_number": "972-792-5700",
            "fax_number": "214-349-7707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12500 LEBANON RD STE 103",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750359474",
            "telephone_number": "214-297-0297",
            "fax_number": "214-297-0298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEELA",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "M2801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V2352",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.