Individual provider Active NPI

Sajid Hussain Shah, MD

  • Vascular Surgery Physician
  • Bedford, TX
National Provider Identifier
1497920953
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
Q3287 Issued in TX
Practice address
1604 Hospital Pkwy Ste 501
Bedford, TX 76022-6932
Phone
(817) 684-2700
Fax
(817) 684-2709
NPI assigned
Apr 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 252282 ZZ
Vascular Surgery Physician 2086S0129X Q3287 TX Primary

Addresses

Primary practice location

1604 Hospital Pkwy Ste 501
Bedford, TX 76022-6932

Mailing address

1604 Hospital Pkwy Ste 501
Bedford, TX 76022-6932
Phone (817) 684-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180907000644 MD Practitioner - Vascular Surgery 1456662550 Reassigns benefits to 4 organizations
I20240826001202 DC Practitioner - Vascular Surgery 1456662550 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Cardiovascular Institute, LLCGroup PAC ID 7517903982, 16 clinicians

Practice addresses (Care Compare)

2812 Old Lee Hwy
Suite 100B
Fairfax, VA 22031-4315
Phone (703) 596-3800

75 Thomas Johnson Dr
Suite I
Frederick, MD 21702-4895
Phone (301) 891-2500

7610 Carroll Ave
Suite 100
Takoma Park, MD 20912-6311
Phone (301) 891-2500

Hospital & facility affiliations

  • Holy Cross Hospital Hospital, Silver Spring, MD, CCN 210004
  • Adventist Healthcare White Oak Medical Center Hospital, Silver Spring, MD, CCN 210016
  • Frederick Health Hospital Hospital, Frederick, MD, CCN 210005

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.78 of 100Reported as group
Quality
78.26
Improvement activities
40
Cost
61.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)479

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
252282ZZMDSurgery Physician
Q3287TXMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Cardiovascular Institute LLC CurrentSince Jul 1, 2024 Accepting new patients
WVS Takoma Park LLC CurrentSince Sep 6, 2024 Accepting new patients
White Square Vascular Surgery PA CurrentSince Aug 15, 2018 Accepting new patients
White Square Vascular Surgery PA Vascular Surgery CurrentSince Aug 15, 2018 Accepting new patients
Washington Cardiovascular Institute LLC CurrentSince Jul 1, 2024 Accepting new patients
WVS Frederick ASC LLC CurrentSince Sep 6, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

351 W Camden St
Fl 201
Baltimore, MD 21201
Phone (410) 541-7800

602 S Atwood Rd
Ste 201
Bel Air, MD 21014
Phone (410) 687-5300

75 Thomas Johnson Dr
Ste I
Frederick, MD 21702
Phone (301) 378-0608

5233 King Ave
Ste 208
Rosedale, MD 21237
Phone (410) 294-6323

7610 Carroll Ave
Ste 100
Takoma Park, MD 20912

10845 Philadelphia Rd
White Marsh, MD 21162
Phone (410) 335-0008

Interoperability endpoints

  • Direct secure messaging: sajid.shah.3@10710.direct.athenahealth.com
  • Direct secure messaging: sajid.shah.1@10710.direct.athenahealth.com
  • Direct secure messaging: sajid.shah.2@10710.direct.athenahealth.com

Organizations & group practices 8

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 4

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": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1497920953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 501",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226932",
            "telephone_number": "817-684-2700",
            "fax_number": "817-684-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 HOSPITAL PKWY STE 501",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760226932",
            "telephone_number": "817-684-2700",
            "fax_number": "817-684-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAJID",
        "middle_name": "HUSSAIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "ZZ",
            "license": "252282",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "TX",
            "license": "Q3287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.