Individual provider Active NPI

Maunank R Shah, M.D.

  • Infectious Disease Physician
  • Baltimore, MD
National Provider Identifier
1417156902
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
T2681 Issued in MD
Practice address
222 E Saratoga St
Apt 905
Baltimore, MD 21202-3512
Phone
(404) 247-3576
NPI assigned
Jul 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X T2681 MD Primary

Addresses

Primary practice location

222 E Saratoga St
Apt 905
Baltimore, MD 21202-3512

Mailing address

3108 Foster Ave
Baltimore, MD 21224-3931
Phone (410) 350-9513

Other identifiers 1

IdentifierTypeStateIssuer
418284700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20090915000015 MD Practitioner - Infectious DiseasePractitioner - Internal Medicine 8820144900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T2681MDMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Johns Hopkins University Infectious Disease CurrentSince Apr 22, 2015 Accepting new patients
Johns Hopkins University CurrentSince Apr 22, 2015 Accepting new patients
Johns Hopkins University Current Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

600 N Wolfe St
Baltimore, MD 21287

Interoperability endpoints

  • Direct secure messaging: mshah676732@direct.ochin.org
  • Direct secure messaging: mshah35760@direct.hopkinsmedicine.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1417156902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 FOSTER AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243931",
            "telephone_number": "410-350-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E SARATOGA ST",
            "address_2": "APT 905",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023512",
            "telephone_number": "404-247-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAUNANK",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-13",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "T2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "418284700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.