Active NPI
Mrugeshkumar Kanaiyalal Shah, MD
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Plano, TX
National Provider Identifier
1639113012
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Sep 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- L6174
- Practice address
- 6957 W Plano Pkwy
Suite 2600
Plano, TX 75093-1620 - Phone
- (972) 499-4266
- Fax
- (972) 591-4605
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | L6174 | TX | Primary |
Addresses
Primary practice location
6957 W Plano Pkwy
Suite 2600
Plano, TX 75093-1620
Mailing address
3420 Forestbrook Dr
Richardson, TX 75082
Phone (972) 278-7772
Other names 1
- Mike Shah
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ER of Texas Mansfield | Current | Accepting new patients |
Interoperability endpoints
- dmcmshah@yourcarecommunity.org
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Mansfield, TX
- NPI 1629742341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499299200000",
"number": "1639113012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 FORESTBROOK DR",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75082",
"telephone_number": "972-278-7772",
"fax_number": "469-429-1052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6957 W PLANO PKWY",
"address_2": "SUITE 2600",
"city": "PLANO",
"state": "TX",
"postal_code": "750931620",
"telephone_number": "972-499-4266",
"fax_number": "972-591-4605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "MRUGESHKUMAR",
"middle_name": "KANAIYALAL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2017-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "TX",
"license": "L6174",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MIKE",
"last_name": "SHAH",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.