Individual provider Active NPI

Vipin A Shah, ARRT, ARMRIT

  • Radiography Radiologic Technologist
  • Schaumburg, IL
National Provider Identifier
1417096553
Registry record updated Nov 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiography Radiologic TechnologistTaxonomy code 2471C3402X
License
305743 Issued in IL
Practice address
821 E. Schaumburg Rd.
Schaumburg, IL 60194
Phone
(630) 400-8096
NPI assigned
Feb 5, 2007
Last updated
Nov 5, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
305743ILMDRadiography 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.

Verify at the official NPI Registry.