Mudita Shah, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

N2791 Issued in TX

Practice address

800 8TH Ave
Suite 324
Fort Worth, TX 76104-2601

Phone

(817) 817-9800

NPI assigned

May 2, 2007

Last updated

May 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Allergy/ImmunologyAlso: Internal Medicine

Education

University of Oklahoma College of Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Lone Star Allergy, Asthma, and Immunology

  • Clinic/Center
  • Fort Worth, TX
  • NPI 1992015465
  Medicare reassignment NPD Authorized official
• Lone Star Kidney Care

  • Clinic/Center
  • Fort Worth, TX
  • NPI 1164732665
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367452800000",
    "number": "1649492679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 324",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-810-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 324",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-817-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MUDITA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2013-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "N2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dar Bharat Shah, M.D.
• Hevil Shah, MD, MPH, MA, FAAP
• Kirit C Shah, MD
• Kruti Shah, PHARMACIST
• Meera Shah, RD, LDN
• Munir Rohitbhai Shah, PHARM D
• Nadia Shah, M.D.
• Neil Dilip Shah, MD
• Nirav Shah, M.D., M.P.H
• Pankil Shah, O.D.

• Allergy & Immunology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Allergy & Immunology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.