NPIMap

Individual provider Active NPI

Jagdish R. Shah, MD

  • Clinical Neurophysiology Physician
  • Mechanicsburg, PA
National Provider Identifier
1528029725
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
MD426776 Issued in PA
Practice address
1700 Bent Creek Blvd
Suite 150
Mechanicsburg, PA 17050-1870
Phone
(717) 697-4980
Fax
(717) 697-4979
NPI assigned
Mar 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology Physician 2084N0600X MD426776 PA Primary

Addresses

Primary practice location

1700 Bent Creek Blvd
Suite 150
Mechanicsburg, PA 17050-1870

Mailing address

PO Box 339
Mechanicsburg, PA 17055-0339
Phone (717) 697-4980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050908000340 PA Practitioner - Neurology 0749212975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1700 Bent Creek Blvd
Suite 150
Mechanicsburg, PA 17050-1894
Phone (717) 697-4980

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.18 of 100Reported as individual
Quality
38.37
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harper Hutzel Hospital Past Accepting new patients

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1528029725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 339",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170550339",
            "telephone_number": "717-697-4980",
            "fax_number": "717-697-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 BENT CREEK BLVD",
            "address_2": "SUITE 150",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170501870",
            "telephone_number": "717-697-4980",
            "fax_number": "717-697-4979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAGDISH",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "PA",
            "license": "MD426776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.