Individual provider Active NPI

Vipul B Shah, MD

  • Internal Medicine Physician
  • Hanover, PA
National Provider Identifier
1609934330
Registry record updated Dec 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD432452 Issued in PA
Practice address
2201 Brunswick Dr Ste 1300
Hanover, PA 17331-8350
Phone
(717) 632-2088
Fax
(717) 646-7428
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432452 PA Primary

Addresses

Primary practice location

2201 Brunswick Dr Ste 1300
Hanover, PA 17331-8350

Mailing address

3130 Grandview Rd
Hanover, PA 17331-9134
Phone (717) 632-2088

Other identifiers 2

IdentifierTypeStateIssuer
1020489640001MedicaidPA
2509048MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vshah86503@phsdirect.pinnaclehealth.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000187 PA Practitioner - Internal Medicine 1557339876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

2000 Westinghouse Dr
Cranberry Township, PA 16066-5238

2201 Brunswick Dr
Hanover, PA 17331-8350

2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100

2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143

3130 Grandview Rd
Hanover, PA 17331-9134

Hospital & facility affiliations

  • Vna of Hanover and Spring Grove Home health agency, Hanover, PA, CCN 397061
  • Residential Home Health of Carlisle, LLC Home health agency, Mechanicsburg, PA, CCN 397047
  • Enhabit Home Health Home health agency, York, PA, CCN 398025
  • Homecare Maryland, LLC Home health agency, Owings Mills, MD, CCN 217107
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233
  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Gettysburg Hospital Hospital, Gettysburg, PA, CCN 390065
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432452PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Nov 1, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pinnacle Health Medical Services Past Accepting new patients
Hospitalist Medicine Physicians of Lucas County, LTD Internal Medicine Past Accepting new patients

Locations

1404 Baltimore St
Ste 4
Hanover, PA 17331
Phone (717) 637-0470

3130 Grandview Rd
Ste 100
Hanover, PA 17331
Phone (717) 632-2088

310 Stock St
Ste 4
Hanover, PA 17331
Phone (717) 633-3555

2201 Brunswick Dr
Ste 1300
Hanover, PA 17331
Phone (717) 632-2088

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

300 W King St
Littlestown, PA 17340
Phone (717) 359-9214

Interoperability endpoints

  • Direct secure messaging: vshah302870@upmc.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 21

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607731200000",
    "number": "1609934330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 GRANDVIEW RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173319134",
            "telephone_number": "717-632-2088",
            "fax_number": "717-637-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 BRUNSWICK DR STE 1300",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173318350",
            "telephone_number": "717-632-2088",
            "fax_number": "717-646-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIPUL",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-12-12",
        "certification_date": "2020-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432452",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1020489640001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509048",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vshah86503@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "2201 Brunswick Dr Ste 1300",
            "city": "Hanover",
            "state": "PA",
            "country_code": "US",
            "postal_code": "173318350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanover, PA

Sources for this page

Verify at the official NPI Registry.