Active NPI
Gunjan P Shah, M.D.
- Gastroenterology Physician
- Livonia, MI
National Provider Identifier
1497720510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 4301059059
- Practice address
- 15134 Levan Rd
Suite 34
Livonia, MI 48154 - Phone
- (734) 779-2143
- Fax
- (734) 779-2151
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 4301059059 | MI | Primary |
| Specialist | 174400000X | G5059059 | MI |
Addresses
Primary practice location
15134 Levan Rd
Suite 34
Livonia, MI 48154
Mailing address
15134 Levan Rd
Ste 34
Livonia, MI 48154-5027
Phone (734) 779-2143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3265959 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
15134 Levan Rd
Suite 34
Livonia, MI 48154-5027
Phone (734) 779-2143
Hospital & facility affiliations
- St Joe Mercy Hospital System Livonia
- Corewell Health Wayne Hospital
- Beaumont Hospital - Farmington Hills
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.44 of 100
- Quality
- 81.83
- Promoting interoperability
- 90
- Improvement activities
- 40
- Cost
- 79.37
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 141 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 142 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5059059 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates in Gastroenterology,P.C. | Gastroenterology | Current | Accepting new patients |
| Arthritis Consultants, P.C. | Current | Accepting new patients |
Locations
15134 Levan Rd
Livonia, MI 48154
Phone (734) 779-2126
15134 Levan Rd
Ste 34
Livonia, MI 48154
Phone (734) 779-2126
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GAJGCA/Endpoint/GAJGCA
- gunjan.shah@ac.eclinicaldirectplus.com
Organizations & group practices 2
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.
-
- Gastroenterology Physician
- Livonia, MI
- NPI 1083752356
-
- Rheumatology Physician
- Livonia, MI
- NPI 1649318908
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
-
- General Acute Care Hospital
- Wayne, MI
- NPI 1295785285
-
- General Acute Care Hospital
- Livonia, MI
- NPI 1790706901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1497720510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15134 LEVAN RD",
"address_2": "STE 34",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481545027",
"telephone_number": "734-779-2143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15134 LEVAN RD",
"address_2": "SUITE 34",
"city": "LIVONIA",
"state": "MI",
"postal_code": "48154",
"telephone_number": "734-779-2143",
"fax_number": "734-779-2151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "GUNJAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "MI",
"license": "4301059059",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "G5059059",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3265959",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Livonia, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.