Individual provider Active NPI

Minesh N Shah, MD

  • Internal Medicine Physician
  • Clarksville, TN
National Provider Identifier
1407947666
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
41377 Issued in TN
Practice address
651 Dunlop LN
Clarksville, TN 37040-5015
Phone
(931) 502-5080
Fax
(931) 502-5081
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 41377 TN Primary
Hospitalist Physician 208M00000X 41377 TN

Addresses

Primary practice location

651 Dunlop LN
Clarksville, TN 37040-5015

Mailing address

2871 Summer Lawn Dr
Clarksville, TN 37043-4028
Phone (931) 801-9252

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20061222000094 TN Practitioner - Internal MedicinePractitioner - Emergency Medicine 4981604923 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Thomas Medical Partners Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Cogent Healthcare of Tennessee, PC Internal Medicine CurrentSince Aug 1, 2018 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Aug 1, 2011 Accepting new patients
App of Tennessee HM, PLLC Hospitalist CurrentSince Jan 15, 2020 Accepting new patients
Clarksville Physician Services, LLC Past Accepting new patients
Tennessee Heart and Lung Institute PLC Past Accepting new patients
Clarksville Health System, LLC Past Accepting new patients

Locations

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

400 E Tickle St
Dyersburg, TN 38024
Phone (731) 285-2410

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

300 20th Ave N
Fl 9
Nashville, TN 37203

2835 Highway 231 N
Shelbyville, TN 37160
Phone (931) 685-5433

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: nmcmshah@yourcarecommunity.org

Organizations & group practices 8

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": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1407947666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2871 SUMMER LAWN DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370434028",
            "telephone_number": "931-801-9252",
            "fax_number": "931-258-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 DUNLOP LN",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370405015",
            "telephone_number": "931-502-5080",
            "fax_number": "931-502-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MINESH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "41377",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TN",
            "license": "41377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.