Individual provider Active NPI

Ashok Shah, M.D.

  • Psychiatry Physician
  • Montgomery, AL
National Provider Identifier
1447383450
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD12509 Issued in AL
Practice address
101 Coliseum Blvd
Montgomery, AL 36109-2707
Phone
(334) 279-7830
Fax
(337) 279-3714
NPI assigned
Mar 13, 2007
Last updated
Mar 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD12509 AL Primary

Addresses

Primary practice location

101 Coliseum Blvd
Montgomery, AL 36109-2707

Mailing address

101 Coliseum Blvd
P O Box 3223
Montgomery, AL 36109-2707
Phone (334) 279-7830

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD12509ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Alabama Mental Health/Mental Retardation Inc. Past Accepting new patients
Southwest Alabama Mental Health Past Accepting new patients
Montgomery Area Mental Health Authority Inc Past Accepting new patients
Southwest Alabama Behavioral Health Care Systems PastSince Jul 1, 2018 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/carastar/r4/

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1447383450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLISEUM BLVD",
            "address_2": "P O BOX 3223",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092707",
            "telephone_number": "334-279-7830",
            "fax_number": "334-279-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLISEUM BLVD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361092707",
            "telephone_number": "334-279-7830",
            "fax_number": "337-279-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ASHOK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "MD12509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.