NPIMap

Individual provider Active NPI

Amish B Shah, MD

  • Nephrology Physician
  • Glen Allen, VA
National Provider Identifier
1598737389
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101260354 Issued in VA
Practice address
11357 Nuckols Rd # 1149
Glen Allen, VA 23059-5504
Phone
(256) 698-0521
NPI assigned
Feb 6, 2006
Last updated
Jul 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101260354 VA Primary

Addresses

Primary practice location

11357 Nuckols Rd # 1149
Glen Allen, VA 23059-5504

Mailing address

11357 Nuckols Rd # 1149
Glen Allen, VA 23059-5504
Phone (256) 698-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070126000271 TN Practitioner - Nephrology 7719875103 Reassigns benefits to 1 organization
I20160718000101 VA Practitioner - NephrologyPractitioner - Internal Medicine 7719875103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians

Practice addresses (Care Compare)

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Physician Associates of Winchester PLC CurrentSince Jan 1, 2022 Accepting new patients
Nephrology Consultants LLC Nephrology CurrentSince Jul 1, 2006 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Jan 1, 2019 Accepting new patients
Alabama Institute for Sleep Health, LLC PastSince Nov 3, 2025 Accepting new patients

Locations

2325 Pansy St SW
Ste E
Huntsville, AL 35801
Phone (256) 533-4626

2780 Bob Wallace Ave SW
Huntsville, AL 35805
Phone (256) 533-4626

2218 Thornton Taylor Pkwy
Fayetteville, TN 37334
Phone (931) 438-2399

603 Amana Ave
Fayetteville, TN 37334
Phone (931) 240-0682

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

812 Amherst St
Ste 201
Winchester, VA 22601
Phone (540) 450-1600

Organizations & group practices 5

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.

Hospital & facility affiliations 9

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1598737389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11357 NUCKOLS RD # 1149",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595504",
            "telephone_number": "256-698-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11357 NUCKOLS RD # 1149",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595504",
            "telephone_number": "256-698-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMISH",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101260354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Allen, VA

Sources for this page

Verify at the official NPI Registry.