Neil Shah

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A164760 Issued in CA

Practice address

3805 McCain Park Dr Ste 104
North Little Rock, AR 72116-7813

Phone

(501) 414-6753

Fax

(501) 209-4205

NPI assigned

Apr 10, 2018

Last updated

Jul 8, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, AR2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mao Inhibitors

  • Clinic/Center
  • Agoura Hills, CA
  • NPI 1992454094

  General Practice

  Medicare reassignment NPD Authorized official
• Primary & Urgent Care

  • Family Medicine Physician
  • Colusa, CA
  • NPI 1083304570
  Medicare reassignment NPD Authorized official
• Gainful Pragmatic Solutions

  dba Gainful Pragmatic Solutions, LLC

  • Group Psychotherapy Psychologist
  • North Little Rock, AR
  • NPI 1780367052
  Medicare reassignment NPD

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1417454075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5158 CLARETON DR UNIT 1602",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913767086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 MCCAIN PARK DR STE 104",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167813",
            "telephone_number": "501-414-6753",
            "fax_number": "501-209-4205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3271 Old Highway 246",
            "address_purpose": "LOCATION",
            "city": "Santa Ynez",
            "state": "CA",
            "postal_code": "934609411",
            "country_code": "US",
            "telephone_number": "818-906-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A164760",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A164760",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AR",
            "license": "E-14796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serenity Living Quarters Inc
• Leslie Howard Sessions, MD
• Mahsa Shabaninia
• Rachael D Shaffer
• Tabinda Shafiq
• Priyal Jatin Shah, M.D.
• Syed Saqib Ali Shah, MD
• Jamie Sue Shahan, CRNA
• Reza Shahim, MD
• Christine Ann Shain, APRN

• Internal Medicine Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Internal Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.