Rahul Prakash Shah, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0063418 Issued in CO

Practice address

0401 Castle Creek Rd
Aspen, CO 81611

Phone

(970) 279-4111

NPI assigned

May 6, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et1254.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Aspen Valley Hospital Clinics, PLLC

  • Multi-Specialty Clinic/Center
  • Aspen, CO
  • NPI 1003306168

  Pediatrics

  Medicare reassignment NPD
• Aspen Valley Hospital District

  • Critical Access Hospital
  • Aspen, CO
  • NPI 1518960814
  Medicare reassignment
• Aspen Valley Hospital District

  • Clinic/Center
  • Snowmass Village, CO
  • NPI 1710942495
  NPD
• Aspen Valley Hospital District

  • Durable Medical Equipment & Medical Supplies
  • Aspen, CO
  • NPI 1942357363
  NPD
• Aspen Valley Hospital District Clinics

  • Surgery Physician
  • Basalt, CO
  • NPI 1114778412
  NPD

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1558748848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "0401 CASTLE CREEK RD.",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "0401 CASTLE CREEK RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81611",
            "telephone_number": "970-279-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RAHUL",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0063418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Seidler, PT
• Shelley Alison Senterfitt, MS
• Emily Serota
• Eugene Howard Seymour, M.D.
• Alana Ritter Shah, M.D.
• Antoinette Accardo Shandling, CRNA
• Linda C Shaw, NP
• Susan H. Shipp, MA
• David Jacob Singer, MD, FACS
• Ski Town IV LLC

• Pediatrics Physician in Aspen, CO
• Providers in Aspen, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.