Individual provider Active NPI

Nirav R Shah, M.D

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Longmont, CO
National Provider Identifier
1629289509
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
DR0049986 Issued in CO
Practice address
1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone
(303) 772-1600
Fax
(970) 493-0521
NPI assigned
May 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X DR0049986 CO Primary

Addresses

Primary practice location

1610 Dry Creek Dr
Longmont, CO 80503-6405

Mailing address

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-0112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20110919000051 CO Practitioner - Orthopedic Surgery 8426174988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Washington University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

13559 Huron St
Suite 201
Westminster, CO 80234-1163
Phone (303) 772-1600

13659 E 104TH Ave
Commerce City, CO 80022-9402
Phone (720) 506-5340

14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone (720) 627-0000

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone (303) 772-1600

1750 E Ken Pratt Blvd
Longmont, CO 80504-5311
Phone (720) 718-7000

1950 Mountain View Ave
Longmont, CO 80501-3129
Phone (303) 651-5111

200 Exempla Cir
Lafayette, CO 80026-3370
Phone (303) 689-4000

2420 E Prospect Rd
Fort Collins MRI
Fort Collins, CO 80525-9718
Phone (970) 493-0567

2500 E Prospect Rd
Fort Collins, CO 80525-9718
Phone (970) 493-4010

300 Exempla Cir
Suite 200
Lafayette, CO 80026-3391
Phone (303) 772-1600

3470 E 15TH St
Loveland, CO 80538-8809
Phone (970) 292-1900

730 14TH St SW
Loveland, CO 80537-6349
Phone (970) 663-0815

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.72 of 100Reported as group
Quality
70.39
Promoting interoperability
71
Improvement activities
40
Cost
69.52

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement36
Knee replacement29
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR0049986COMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic & Spine Center of the Rockies PC Orthopaedic Surgery CurrentSince Mar 20, 2020 Accepting new patients

Locations

2500 E Prospect Rd
Fort Collins, CO 80525
Phone (800) 722-7441

300 Exempla Cir
Ste 200
Lafayette, CO 80026
Phone (970) 378-4433

1610 Dry Creek Dr
Ste 100
Longmont, CO 80503
Phone (720) 494-3200

1950 Mountain View Ave
Longmont, CO 80501
Phone (303) 651-5000

1610 Dry Creek Dr
Longmont, CO 80503
Phone (720) 494-4750

1610 Dry Creek Dr
Ste 200
Longmont, CO 80503
Phone (303) 722-1600

13559 Huron St
Ste 201
Westminster, CO 80234

Interoperability endpoints

  • Direct secure messaging: niravshah@fro.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1629289509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E PROSPECT RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805259718",
            "telephone_number": "970-493-0112",
            "fax_number": "970-493-0521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 DRY CREEK DR",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036405",
            "telephone_number": "303-772-1600",
            "fax_number": "970-493-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIRAV",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CO",
            "license": "DR0049986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.