Active NPI
Anish Shah, MD
- Clinical Cardiac Electrophysiology Physician
- Salt Lake City, UT
National Provider Identifier
1437504131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 13896685-1205
- Practice address
- Helix: 30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112 - Phone
- (801) 581-2121
- NPI assigned
- May 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 83491 | GA | |
| Hospitalist Physician | 208M00000X | 83491 | GA | |
| Hospitalist Physician | 208M00000X | 93491 | GA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 13896685-1205 | UT | Primary |
Addresses
Primary practice location
Helix: 30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Mailing address
Helix: 30 N Mario Capecchi Dr RM 3N100
Salt Lake City, UT 84112
Phone (801) 581-2121
Other practice location 1
1364 Clifton Rd NE
404-727-5658
Atlanta, GA 30322-1059
Phone (404) 727-5658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240715004376 | UT | Order and Referring Only - Cardiac Electrophysiology | 8224360326 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83491 | GA | MD | Hospitalist Physician |
Interoperability endpoints
- ashah694066@direct.med.utah.edu
- ashah69401@uihealth.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1437504131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HELIX: 30 N MARIO CAPECCHI DR RM 3N100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-581-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HELIX: 30 N MARIO CAPECCHI DR RM 3N100",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84112",
"telephone_number": "801-581-2121"
}
],
"practiceLocations": [
{
"address_1": "1364 Clifton Rd NE",
"address_2": "404-727-5658",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303221059",
"country_code": "US",
"telephone_number": "404-727-5658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "ANISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-01",
"last_updated": "2024-04-09",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "83491",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "83491",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "93491",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "UT",
"license": "13896685-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.