Individual provider Active NPI

Krima Shah, OD

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1649015645
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA3107 Issued in MD
Practice address
220 Champion Dr Ste 100
Hagerstown, MD 21740-6665
Phone
(301) 791-0888
Fax
(301) 791-3611
NPI assigned
Jul 1, 2024
Last updated
May 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA3107 MD Primary
Optometrist 152W00000X OPT003593 GA

Addresses

Primary practice location

220 Champion Dr Ste 100
Hagerstown, MD 21740-6665

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131
Phone (410) 571-8733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241205001348 GA Practitioner - Ophthalmology 2163958810 Reassigns benefits to 2 organizations
I20251015003863 MD Practitioner - Optometry 2163958810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6665
Phone (301) 791-0888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT003593GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Emory Medical Care Foundation Inc Optometrist Current Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 17, 2024 Accepting new patients
The Emory Clinic Inc CurrentSince Oct 17, 2024 Accepting new patients
Chesapeake Eye Care and Laser Center LLC Optometrist CurrentSince Oct 1, 2025 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Oct 17, 2024 Accepting new patients
Emory Medical Group, LLC PastSince Jul 7, 2024 Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1365 Clifton Rd NE
#B
Atlanta, GA 30322
Phone (404) 778-2020

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

2002 Medical Pkwy
Ste 320
Annapolis, MD 21401

2661 Riva Rd
Ste 1030
Annapolis, MD 21401

37767 Market Dr
Unit 103
Charlotte Hall, MD 20622
Phone (301) 895-2020

195 Thomas Johnson Dr
Ste C
Frederick, MD 21702
Phone (301) 695-6900

220 Champion Dr
Ste 100
Hagerstown, MD 21740
Phone 3017910888303

263 N Pennsylvania Ave
Hancock, MD 21750
Phone (301) 678-6993

Interoperability endpoints

  • Direct secure messaging: krima.shah@vip.emadirect.md
  • Direct secure messaging: kshah897827@direct.emory.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1649015645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2661 RIVA RD STE 1030",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017131",
            "telephone_number": "410-571-8733",
            "fax_number": "410-571-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR STE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406665",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KRIMA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA3107",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT003593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.