Individual provider Active NPI

Binit Prabhulal Shah, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Huntersville, NC
National Provider Identifier
1578726592
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
201000903 Issued in NC
Practice address
9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9118
Phone
(704) 500-2332
Fax
(704) 274-2048
NPI assigned
Jul 9, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2010-00903 NC
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X 201000903 NC Primary

Addresses

Primary practice location

9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9118

Mailing address

9735 Kincey Ave
Ste 100
Huntersville, NC 28078-9118
Phone (704) 500-2332

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20111115000513 NC Practitioner - Pain ManagementPractitioner - Anesthesiology 5799837506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Comprehab, IncGroup PAC ID 2769653757, 376 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Carolinas Pain Center PLLCGroup PAC ID 0446420525, 7 clinicians

Practice addresses (Care Compare)

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

3367 N NC 16 Business Hwy
Denver, NC 28037-8265
Phone (419) 221-6717

7482 Waterside Crossing Blvd
Denver, NC 28037-3006
Phone (704) 827-0598

9735 Kincey Ave
Suite 100
Huntersville, NC 28078-9120
Phone (704) 500-2332

Hospital & facility affiliations

  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
87.25
Improvement activities
40
Cost
86.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00903NCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Pain Center PLLC Pain Medicine CurrentSince Aug 16, 2011 Accepting new patients
MVP Anesthesia Associates, PC Pain Medicine Past Accepting new patients

Locations

275 N NC 16 Business Hwy
Ste 202
Denver, NC 28037

9735 Kincey Ave
Ste 100
Huntersville, NC 28078
Phone (704) 500-2332

Interoperability endpoints

  • Direct secure messaging: bshah100909@direct.novanthealth.org

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515542400000",
    "number": "1578726592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "STE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-500-2332",
            "fax_number": "888-511-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 KINCEY AVE",
            "address_2": "SUITE 100",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280789118",
            "telephone_number": "704-500-2332",
            "fax_number": "704-274-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BINIT",
        "middle_name": "PRABHULAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2018-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NC",
            "license": "2010-00903",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "201000903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.