NPIMap

Individual provider Active NPI

Kesha Desai Shah, MD

  • Diagnostic Radiology Physician
  • Raleigh, NC
National Provider Identifier
1548465792
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2012-00690 Issued in NC
Practice address
3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Phone
(919) 781-1437
Fax
(919) 787-4870
NPI assigned
Jun 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29983 SC
Diagnostic Radiology Physician 2085R0202X 29983 SC
Diagnostic Radiology Physician 2085R0202X 2012-00690 NC Primary

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 256-3576

Other practice location 1

2100 Erwin Rd
Durham, NC 27705-3941
Phone (919) 684-8111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20120614000690 NC Practitioner - Diagnostic RadiologyPractitioner - Radiation Oncology 6406010875 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cumberland County Hospital System IncGroup PAC ID 1850204041, 581 clinicians
Valley Radiology P aGroup PAC ID 0749181089, 32 clinicians
Columbus Regional Healthcare SystemGroup PAC ID 2961312228, 120 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians
Carilion Giles Community HospitalGroup PAC ID 3678670221, 223 clinicians
Carilion Tazewell Community HospitalGroup PAC ID 4183604259, 76 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians

Practice addresses (Care Compare)

1189 Stone Kirk Dr
Raleigh, NC 27614-7288
Phone (469) 757-1042

3186 Village Dr
Suite 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 610-4172

6096 Delshire CT
Raleigh, NC 27614-7315
Phone (540) 224-5516

Hospital & facility affiliations

  • Cape Fear Valley Medical Center Hospital, Fayetteville, NC, CCN 340028
  • Carilion Medical Center Hospital, Roanoke, VA, CCN 490024
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
  • Betsy Johnson Regional Hospital Hospital, Dunn, NC, CCN 340071
  • Carilion New River Valley Medical Center Hospital, Christiansburg, VA, CCN 490042

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2012-00690NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Aug 2, 2023 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 3, 2024 Accepting new patients
Carilion Medical Center CurrentSince Aug 2, 2023 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 20, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Nov 1, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Jul 20, 2025 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Medical Imaging Center, LLC CurrentSince Dec 1, 2022 Accepting new patients
Carilion Giles Community Hospital CurrentSince Jan 3, 2024 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Carilion Rockbridge Community Hospital CurrentSince Aug 2, 2023 Accepting new patients
Carilion Tazewell Community Hospital CurrentSince Sep 17, 2023 Accepting new patients
Strategic Imaging Consultants PLLC PastSince Aug 14, 2011 Accepting new patients

Locations

150 Wellesley Trade Ln
Ste 103
Cary, NC 27519
Phone (919) 877-5400

166 Springbrook Ave
Ste 103
Clayton, NC 27520
Phone (919) 532-3431

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1212 Cedarhurst Dr
Raleigh, NC 27609
Phone (919) 877-5400

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Interoperability endpoints

  • Direct secure messaging: kshah110474@capefearvalley.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1548465792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-256-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-1437",
            "fax_number": "919-787-4870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Erwin Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277053941",
            "country_code": "US",
            "telephone_number": "919-684-8111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KESHA",
        "middle_name": "DESAI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "29983",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "29983",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2012-00690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.