Active NPI
Pooja Viral Shah
- Family Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NPPA041036
- Practice address
- 2311 Cottman Ave
Philadelphia, PA 19149-1007 - Phone
- (215) 444-7505
- Fax
- (215) 695-2919
- NPI assigned
- Mar 31, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NPPA033948 | PA | |
| Family Nurse Practitioner | 363LF0000X | NPPA041036 | PA | Primary |
Addresses
Primary practice location
2311 Cottman Ave
Philadelphia, PA 19149-1007
Mailing address
PO Box 746722
Atlanta, GA 30374-6722
Phone (312) 733-9730
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 Cottman Ave
Suite 71
Philadelphia, PA 19149-1001
Phone (215) 444-7505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPPA033948 | PA | MD | Family Nurse Practitioner |
| NPPA041036 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osh - PA Physicians Group, PC | Family | Current | Accepting new patients |
| Livengrin Foundation, Inc. | Past | 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
2311 Cottman Ave
Ste 71
Philadelphia, PA 19149
Phone (215) 444-7505
2301 Cottman Ave
Ste 71
Philadelphia, PA 19149
Phone (215) 444-7505
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Bensalem, PA
- NPI 1194889782
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Holy Redeemer Home Care - PA
- Home Health Agency
- Philadelphia, PA
- NPI 1972577617
-
- Home Health Agency
- Newtown, PA
- NPI 1467412296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746057600000",
"number": "1588930739",
"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": "2311 COTTMAN AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191491007",
"telephone_number": "215-444-7505",
"fax_number": "215-695-2919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "POOJA",
"middle_name": "VIRAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-31",
"last_updated": "2025-05-01",
"certification_date": "2025-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "NPPA033948",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "NPPA041036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.