NPIMap

Individual provider Active NPI

Jagdish Amratlal Shah, M.D.

  • Internal Medicine Physician
  • Bonham, TX
National Provider Identifier
1497834816
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J2792 Issued in TX
Practice address
1220 E 6TH St
Bonham, TX 75418-4017
Phone
(903) 583-7424
Fax
(903) 583-0442
NPI assigned
Nov 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 J2792 TX Primary

Addresses

Primary practice location

1220 E 6TH St
Bonham, TX 75418-4017

Mailing address

PO Box 158
Bonham, TX 75418-0158
Phone (903) 583-7424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20110218000049 TX Practitioner - Internal Medicine 9133292592 Practice locations: Bonham, TX

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1220 E 6TH St
Bonham, TX 75418-4017
Phone (903) 583-7424

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.08 of 100Reported as individual
Quality
98.25
Improvement activities
40
Cost
52.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital District Past Accepting new patients
Bonham I Enterprises, L.L.C. Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
Fannin County Hospital Authority Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Meadowbrook Care CenterVan Alstyne, TX, CCN 675151 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Apr 19, 2024
Apr 19, 2024
North Star Ranch Rehabilitation and Healthcare CenterBonham, TX, CCN 675471 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 May 1, 2025
May 1, 2025

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1162684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497834816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 158",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754180158",
            "telephone_number": "903-583-7424",
            "fax_number": "903-583-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 E 6TH ST",
            "city": "BONHAM",
            "state": "TX",
            "postal_code": "754184017",
            "telephone_number": "903-583-7424",
            "fax_number": "903-583-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAGDISH",
        "middle_name": "AMRATLAL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J2792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonham, TX

Sources for this page

Verify at the official NPI Registry.