Individual provider Active NPI

Palav Jitendra Shah, DO

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1588928287
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS019494 Issued in PA
Practice address
3621 Aramingo Ave Ste C5
Philadelphia, PA 19134-4607
Phone
(215) 444-7472
Fax
(215) 979-6726
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036137278 IL
Internal Medicine Physician 207R00000X OS019494 PA Primary

Addresses

Primary practice location

3621 Aramingo Ave Ste C5
Philadelphia, PA 19134-4607

Mailing address

PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730

Other practice location 1

4318 S State St
Chicago, IL 60609-3701
Phone (773) 285-9304

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20180928000300 PA Practitioner - Internal Medicine 6800107244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Osh - PA Physicians Group, PC Internal Medicine CurrentSince Sep 10, 2018 Accepting new patients

Locations

30 W Monroe St
Ste 1200
Chicago, IL 60603
Phone (773) 609-1758

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

3621 Aramingo Ave
Ste C5
Philadelphia, PA 19134
Phone (215) 444-7472

2311 Cottman Ave
Ste 71
Philadelphia, PA 19149
Phone (215) 444-7505

951 N 6th St
Ste 221
Reading, PA 19601
Phone (484) 207-2000

2401 W Cheltenham Ave
Wyncote, PA 19095
Phone (215) 360-3038

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1588928287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "312-733-9730",
            "fax_number": "773-866-8014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 ARAMINGO AVE STE C5",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191344607",
            "telephone_number": "215-444-7472",
            "fax_number": "215-979-6726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4318 S State St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606093701",
            "country_code": "US",
            "telephone_number": "773-285-9304",
            "fax_number": "773-564-3501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PALAV",
        "middle_name": "JITENDRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036137278",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS019494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.