NPIMap

Individual provider Active NPI

Hetal Shah, M.D.

  • Nephrology Physician
  • Olympia, WA
National Provider Identifier
1497040398
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD61209807 Issued in WA
Practice address
3525 Ensign Rd NE Ste K
Olympia, WA 98506-5065
Phone
(360) 413-8121
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD61209807 WA Primary

Addresses

Primary practice location

3525 Ensign Rd NE Ste K
Olympia, WA 98506-5065

Mailing address

3525 Ensign Rd NE
Ste K
Olympia, WA 98506-5065
Phone (360) 413-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214003205 WA Practitioner - Nephrology 1355581570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
University of Missouri, Kansas City, School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Nephrology Associates PLLCGroup PAC ID 1153392592, 9 clinicians

Practice addresses (Care Compare)

3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065
Phone 36041381211

Hospital & facility affiliations

  • FMC Lacey Dialysis facility, Olympia, WA, CCN 502530
  • DaVita Olympia Dialysis Center Dialysis facility, Olympia, WA, CCN 502555
  • FMC Chehalis Dialysis facility, Chehalis, WA, CCN 502539
  • FMC Thurston County Dialysis Center Dialysis facility, Lacey, WA, CCN 502575
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology CurrentSince Sep 13, 2020 Accepting new patients
Memorial Nephrology Associates PLLC Nephrology CurrentSince Jan 1, 2022 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. Nephrology PastSince Sep 20, 2020 Accepting new patients

Locations

2655 Crescent Dr
Ste D
Lafayette, CO 80026
Phone (303) 443-4200

4891 Independence St
Ste 120
Wheat Ridge, CO 80033
Phone (303) 232-3366

3525 Ensign Rd NE
Ste K
Olympia, WA 98506
Phone (360) 413-8121

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA
  • Direct secure messaging: hetal.shah@direct.davitaphysiciansolutions.com

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1497040398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE",
            "address_2": "STE K",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-413-8121",
            "fax_number": "360-413-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE STE K",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-413-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HETAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD61209807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.