Organization Active NPI

Parvez I Shah MD PA

  • Urology Physician
  • Laurel, MD
National Provider Identifier
1508172990
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
PARVEZ I SHAH MD PA
Doing business as
Parvez I Shah MD PA
Practice address
7350 Van Dusen Rd Ste 450
Laurel, MD 20707-5265
Phone
(301) 490-0500
Fax
(301) 490-1630
NPI assigned
Aug 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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

Authorized official

Name
Parvez I Shah, MDNPI 1174566756
Title
Owner
Phone
(301) 490-0500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

7350 Van Dusen Rd Ste 450
Laurel, MD 20707-5265

Mailing address

7350 Van Dusen Rd
Suite 450
Laurel, MD 20707-5263
Phone (301) 490-0500

Other names 1

  • PARVEZ I SHAH MD PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100825000014 DC Part B Supplier - Clinic/Group Practice 9638293830 Receives reassigned benefits from 1 practitioner
Practice locations: Laurel, MD

National Provider Directory

National Provider Directory

Locations

7350 Van Dusen Rd
Ste 450
Laurel, MD 20707
Phone (301) 490-0500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684108800000",
    "number": "1508172990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD",
            "address_2": "SUITE 450",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075263",
            "telephone_number": "301-490-0500",
            "fax_number": "301-490-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 VAN DUSEN RD STE 450",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207075265",
            "telephone_number": "301-490-0500",
            "fax_number": "301-490-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARVEZ I SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PARVEZ",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-490-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARVEZ I SHAH MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.