Active NPI
Vipin A Shah, ARRT, ARMRIT
- Radiography Radiologic Technologist
- Schaumburg, IL
National Provider Identifier
1417096553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiography Radiologic Technologist
- License
- 305743
- Practice address
- 821 E. Schaumburg Rd.
Schaumburg, IL 60194 - Phone
- (630) 400-8096
- NPI assigned
- Feb 5, 2007
- Last updated
- Nov 5, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiography Radiologic Technologist | 2471C3402X | 305743 | IL | Primary |
Addresses
Primary practice location
821 E. Schaumburg Rd.
Schaumburg, IL 60194
Mailing address
1035 Bourne LN
Schaumburg, IL 60193-2653
Phone (630) 400-8096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305743 | IL | MD | Radiography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352073600000",
"number": "1417096553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 BOURNE LN",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601932653",
"telephone_number": "630-400-8096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 E. SCHAUMBURG RD.",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60194",
"telephone_number": "630-400-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "VIPIN",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "ARRT, ARMRIT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2012-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "2471C3402X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Radiography",
"state": "IL",
"license": "305743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.