Active NPI
Jay Shah
- Student in an Organized Health Care Education/Training Program
- Las Cruces, NM
National Provider Identifier
1568147114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RS2024-0294
- Practice address
- 4351 E Lohman Ave
Las Cruces, NM 88011-8259 - Phone
- (575) 556-7762
- NPI assigned
- Jun 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | RS2024-0294 | NM | Primary |
Addresses
Primary practice location
4351 E Lohman Ave
Las Cruces, NM 88011-8259
Mailing address
4351 E Lohman Ave
Las Cruces, NM 88011-8259
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231219004172 | SC | Order and Referring Only - Family Practice | 5294185088 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RS2024-0294 | NM | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- jay.shah.1@1928.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728345600000",
"number": "1568147114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4351 E LOHMAN AVE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880118259",
"telephone_number": "575-556-7762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JAY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-20",
"last_updated": "2024-10-08",
"certification_date": "2024-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "RS2024-0294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.