Nimesh Bhupendra Shah, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200400970 Issued in NC

Practice address

785 US Highway 70 SW
Hickory, NC 28602-5096

Phone

(828) 437-3000

NPI assigned

Aug 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: nimesh.shah@direct.acallc.nchie.net

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1467643155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 TAYLORSVILLE HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286252965",
            "telephone_number": "704-873-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 US HIGHWAY 70 SW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286025096",
            "telephone_number": "828-437-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "327 1st Ave NW",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286016122",
            "country_code": "US",
            "telephone_number": "828-695-5900",
            "fax_number": "828-695-4256",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3206 Taylorsville Hwy",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286252965",
            "country_code": "US",
            "telephone_number": "704-873-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIMESH",
        "middle_name": "BHUPENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A79171",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200400970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Sue Setzer, LCAS-A
• SGT Health Services
• Nathan Shackelford
• Disha Shah
• Margy Sanjay Shah, LCSWA
• Priyal Shah, MD
• Zubin Ashwin Shah, DO
• Annabelle Brannon Shamblin, BCBA
• Sayyeida Michele Shank, LCMHC
• Roberta Ann Shannon-Kirby, MA/CAS, LPA

• Psychiatry Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.