Individual provider Active NPI

Jason Shah, MD

  • Orthopaedic Surgery Physician
  • Wilmington, DE
National Provider Identifier
1609405356
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
C1-0028806 Issued in DE
Practice address
1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone
(302) 655-9494
NPI assigned
Apr 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD492595 PA
Orthopaedic Surgery Physician 207X00000X C1-0028806 DE Primary

Addresses

Primary practice location

1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413

Mailing address

1941 Limestone Rd Ste 101
Wilmington, DE 19808-5413
Phone (302) 655-9494

Other practice location 1

1354 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (443) 907-7781

Other practice location 2

59 Executive Park S
Atlanta, GA 30329-2208
Phone (404) 778-2516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20250802000018 NC Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 4284142126

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0028806DEMDOrthopaedic Surgery Physician
MD492595PAMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1586044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1609405356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085413",
            "telephone_number": "302-655-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 LIMESTONE RD STE 101",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198085413",
            "telephone_number": "302-655-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1354 Clifton Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303221059",
            "country_code": "US",
            "telephone_number": "443-907-7781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "59 Executive Park S",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303292208",
            "country_code": "US",
            "telephone_number": "404-778-2516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-05",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD492595",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "DE",
            "license": "C1-0028806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.