Individual provider Active NPI

Vikram P Shah, MD

  • Internal Medicine Physician
  • Spring Valley, NY
National Provider Identifier
1659411353
Registry record updated Jun 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
170575 Issued in NY
Practice address
7 South Madison Avenue
Springvalley, NY 10977
Phone
(845) 352-4205
Fax
(845) 352-4207
NPI assigned
Feb 8, 2007
Last updated
Jun 27, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 170575 NY Primary

Addresses

Primary practice location

7 South Madison Avenue
Springvalley, NY 10977

Mailing address

7 South Madison Avenue
Springvalley, NY 10977
Phone (845) 352-4205

Other identifiers 1

IdentifierTypeStateIssuer
01080533MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100924000000 NY Practitioner - Internal Medicine 1850417197 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Valley, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 S Madison Ave
Spring Valley, NY 10977-5539
Phone (845) 661-2073

Merit-based Incentive Payment System (MIPS)

Final score
23.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
170575NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Friedwald Center for Rehabilitation and Nursing, LLC Past Accepting new patients
Dev Shah MD PLLC PastSince Feb 16, 2020 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, 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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277596800000",
    "number": "1659411353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTH MADISON AVENUE",
            "city": "SPRINGVALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-352-4205",
            "fax_number": "845-352-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTH MADISON AVENUE",
            "city": "SPRINGVALLEY",
            "state": "NY",
            "postal_code": "10977",
            "telephone_number": "845-352-4205",
            "fax_number": "845-352-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIKRAM",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "170575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01080533",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

Verify at the official NPI Registry.