NPIMap

Individual provider Active NPI

Mikesh C Shah, MD

  • Internal Medicine Physician
  • Rocky Mount, VA
National Provider Identifier
1497736748
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101238418 Issued in VA
Practice address
390 S Main St
Suite 201
Rocky Mount, VA 24151-1711
Phone
(540) 484-4800
Fax
(540) 484-4882
NPI assigned
Nov 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0101238418 VA Primary

Addresses

Primary practice location

390 S Main St
Suite 201
Rocky Mount, VA 24151-1711

Mailing address

2740 Chateau CT
Roanoke, VA 24012-6782
Phone (540) 977-4589

Other identifiers 3

IdentifierTypeStateIssuer
010190495MedicaidVA
010318912MedicaidVA
010243947MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050919000996 VA Practitioner - Internal Medicine 0446202766 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carilion Rockbridge Community HospitalGroup PAC ID 4789658261, 104 clinicians
Carilion Healthcare CorporationGroup PAC ID 5890607253, 540 clinicians
Oandw EnterprisesGroup PAC ID 6608927298, 216 clinicians

Practice addresses (Care Compare)

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 462-1200

180 Floyd Ave
Rocky Mount, VA 24151-1318
Phone (540) 483-5277

935 Fairystone Park Hwy
Stanleytown, VA 24168-3014
Phone (888) 724-0268

Hospital & facility affiliations

  • Carilion Home Care Franklin Home health agency, Rocky Mount, VA, CCN 497038
  • Carilion Franklin Memorial Hospital Hospital, Rocky Mount, VA, CCN 490089
  • Carilion Stonewall Jackson Hospital Hospital, Lexington, VA, CCN 491304
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Giles Community Hospital Current Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 29, 2005 Accepting new patients
Carilion Medical Center CurrentSince Aug 26, 2013 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Sep 1, 2020 Accepting new patients
Carilion Healthcare Corporation CurrentSince Aug 29, 2005 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jun 12, 2020 Accepting new patients
Carilion Medical Center CurrentSince Aug 26, 2013 Accepting new patients
Carilion Rockbridge Community Hospital Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jun 12, 2020 Accepting new patients

Locations

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

1 Health Cir
Lexington, VA 24450
Phone (540) 458-3300

159 Hartley Way
Pearisburg, VA 24134
Phone (540) 921-6000

213 S Jefferson St
Ste 625
Roanoke, VA 24011
Phone (540) 224-5677

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

390 S Main St
Ste 201
Rocky Mount, VA 24151
Phone (540) 484-4800

390 S Main St
Ste 1
Rocky Mount, VA 24151
Phone (540) 484-4836

180 Floyd Ave
Rocky Mount, VA 24151
Phone (540) 483-5277

Interoperability endpoints

  • Direct secure messaging: mshah16037@direct.carilionclinic.org

Organizations & group practices 11

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 8

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1497736748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 CHATEAU CT",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240126782",
            "telephone_number": "540-977-4589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511711",
            "telephone_number": "540-484-4800",
            "fax_number": "540-484-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MIKESH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101238418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010190495",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010318912",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010243947",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, VA

Sources for this page

Verify at the official NPI Registry.