Active NPI
Nidhi Bhupendra Shah, DO
- Pediatric Hematology & Oncology Physician
- Hershey, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Hematology & Oncology Physician
- License
- OS017604
- Practice address
- 500 University Dr
Hershey, PA 17033-0850 - Phone
- (800) 243-1455
- Fax
- (717) 531-4789
- NPI assigned
- Jun 4, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS017604 | PA | |
| Pediatric Hematology & Oncology Physician | 2080P0207X | OS017604 | PA | Primary |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-0850
Mailing address
500 University Dr MC Ca410
Hershey, PA 17033-2360
Phone (717) 531-5208
Other practice location 1
2339 S George St
York, PA 17403-5009
Phone (717) 812-3040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103064499 | Medicaid | PA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8395
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS017604 | PA | MD | Pediatric Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physician Group | Current | Accepting new patients | |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| The Milton S. Hershey Medical Center Physicians Group | Past | Accepting new patients | |
| The Milton S Hershey Medical Center | Past | Accepting new patients |
Locations
500 University Dr
Hershey, PA 17033
Phone (717) 531-8181
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705017600000",
"number": "1609137900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR MC CA410",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "717-531-5208",
"fax_number": "717-531-0119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330850",
"telephone_number": "800-243-1455",
"fax_number": "717-531-4789"
}
],
"practiceLocations": [
{
"address_1": "2339 S George St",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174035009",
"country_code": "US",
"telephone_number": "717-812-3040",
"fax_number": "717-812-3049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "NIDHI",
"middle_name": "BHUPENDRA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-04",
"last_updated": "2024-01-12",
"certification_date": "2024-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS017604",
"primary": false
},
{
"code": "2080P0207X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Hematology-Oncology",
"state": "PA",
"license": "OS017604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103064499",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; 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.