Active NPI
Kartik Harish Shah, MD
- Internal Medicine Physician
- Mountain View, CA
National Provider Identifier
1609168012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C182355
- Practice address
- 100 Bay View Dr
Mountain View, CA 94043-2243 - Phone
- (415) 658-6791
- NPI assigned
- May 4, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036-134249 | IL | |
| Hospitalist Physician | 208M00000X | 036-134249 | IL | |
| Internal Medicine Physician | 207R00000X | C182355 | CA | Primary |
Addresses
Primary practice location
100 Bay View Dr
Mountain View, CA 94043-2243
Mailing address
2959 W Vine Ave
Visalia, CA 93291-8546
Phone (559) 940-0766
Other practice location 1
211 S 3rd St
Belleville, IL 62220-1915
Phone (618) 234-2120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C182355 | CA | MD | Internal Medicine Physician |
| 036-134249 | IL | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1609168012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2959 W VINE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918546",
"telephone_number": "559-940-0766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 BAY VIEW DR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940432243",
"telephone_number": "415-658-6791"
}
],
"practiceLocations": [
{
"address_1": "211 S 3rd St",
"address_purpose": "LOCATION",
"city": "Belleville",
"state": "IL",
"postal_code": "622201915",
"country_code": "US",
"telephone_number": "618-234-2120",
"fax_number": "618-641-5806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "KARTIK",
"middle_name": "HARISH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-04",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036-134249",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036-134249",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C182355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.