Tushar R Shah, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

4301073928 Issued in MI

Practice address

302 Kensington Ave
Flint, MI 48503-2044

Phone

(810) 762-8490

Fax

(810) 762-3735

NPI assigned

Dec 22, 2005

Last updated

Mar 26, 2019By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Radiation Oncology

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Collaborative Radiation Oncology PLLCGroup PAC ID 0042508426, 3 clinicians

Genesys Hurley Cancer InstituteGroup PAC ID 4284537440, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tshah1150909@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Genesys Hurley Cancer Institute

  • Radiation Oncology Physician
  • Flint, MI
  • NPI 1245286731
  Medicare reassignment Care Compare group NPD
• Collaborative Radiation Oncology PLLC

  • Radiation Oncology Physician
  • Flint, MI
  • NPI 1467801985
  Medicare reassignment Care Compare group

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

• Henry Ford Health Genesys Hospital

  • General Acute Care Hospital
  • Grand Blanc, MI
  • NPI 1407877723
  Care Compare affiliation

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1568449395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8490",
            "fax_number": "810-762-3735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8490",
            "fax_number": "810-762-3735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TUSHAR",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301073928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4538999",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00100938",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anant M Shah, M.D.
• Jawad A. Shah, MD
• Krishna J Shah, M.D.
• Parmendra Shah, MD
• Purna Nandan Shah, DMD
• Shaheen Mohammed MD PC
• Lisa Michele Shaheen, LMSW
• Michael G Shaheen, D.O.
• Nicole Lynn Shaheen, CNM
• Ronald E Shaheen, DO

• Radiation Oncology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.