Individual provider Active NPI

Dhiren L Shah, MD

  • Cardiovascular Disease Physician
  • Garland, TX
National Provider Identifier
1629054358
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G4206 Issued in TX
Practice address
530 Clara Barton Blvd Ste 150
Garland, TX 75042-5752
Phone
(972) 487-1117
Fax
(972) 494-2082
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G4206 TX Primary

Addresses

Primary practice location

530 Clara Barton Blvd Ste 150
Garland, TX 75042-5752

Mailing address

530 Clara Barton Blvd Ste 150
Garland, TX 75042-5752
Phone (972) 497-1117

Other identifiers 2

IdentifierTypeStateIssuer
894032OtherTXBCBS
133771908MedicaidTX

Other names 1

  • Dhirendra L Shah Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20051028000197 TX Practitioner - Cardiovascular Disease (Cardiology) 4082631114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Consultants of North Dallas PAGroup PAC ID 6800709692, 2 clinicians

Practice addresses (Care Compare)

530 Clara Barton Blvd
Suite 150
Garland, TX 75042-5752
Phone (972) 487-1117

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G4206TXMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Consultants of North Dallas PA Cardiovascular Disease CurrentSince Sep 1, 2001 Accepting new patients
Cardiology Consultants of Texas Cardiovascular Disease Past Accepting new patients

Locations

530 Clara Barton Blvd
Ste 150
Garland, TX 75042
Phone (972) 272-5458

700 Walter Reed Blvd
Ste 205
Garland, TX 75042
Phone (972) 487-1117

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ECICBA/Endpoint/ECICBA

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baylor Scott & White the Heart Hospital - PlanoPlano, TX, CCN 670025 Hospital General Partnership Interest Aug 4, 2004
Baylor Scott & White the Heart Hospital - DentonDenton, TX, CCN 450893 Hospital General Partnership Interest Aug 4, 2004
Baylor Scott & White the Heart Hospital RehabilitationDenton, TX, CCN 67T347 Hospital General Partnership Interest Nov 1, 2024
Baylor Scott & White the Heart Hospital - CorinthDenton, TX, CCN 670347 Hospital General Partnership Interest Nov 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 1

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1629054358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425752",
            "telephone_number": "972-497-1117",
            "fax_number": "972-494-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CLARA BARTON BLVD STE 150",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750425752",
            "telephone_number": "972-487-1117",
            "fax_number": "972-494-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHIREN",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "G4206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "894032",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133771908",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DHIRENDRA",
            "last_name": "SHAH",
            "middle_name": "L",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.