Individual provider Active NPI

Kruti Shah, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1659803518
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
304699 Issued in NY
Practice address
500 7TH Ave
New York, NY 10018-4502
Phone
(833) 947-4927
NPI assigned
Mar 30, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 67128 AZ
Internal Medicine Physician 207R00000X 304699 NY Primary

Addresses

Primary practice location

500 7TH Ave
New York, NY 10018-4502

Mailing address

500 7TH Ave
New York, NY 10018-4502
Phone (833) 947-4927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221202001178 AZ Practitioner - HospitalistPractitioner - Internal Medicine 2668717075 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19829 N 27TH Ave
Phoenix, AZ 85027-4001
Phone (623) 879-6100

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Dec 1, 2022 Accepting new patients
American Physicians, Inc Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Vituity - Arizona Hospitalists PC Internal Medicine CurrentSince Dec 19, 2022 Accepting new patients
Vituity - Arizona Hospitalists PC Hospitalist CurrentSince Dec 19, 2022 Accepting new patients
Comprehensive Hospitalist Services of Arizona LLC Hospitalist Current Accepting new patients
Comprehensive Hospitalist Services of Arizona, LLC Hospitalist CurrentSince Nov 13, 2022 Accepting new patients
American Physicians, Inc. Hospitalist CurrentSince Oct 15, 2022 Accepting new patients
Honorhealth Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

33400 N 32nd Ave
Phoenix, AZ 85085
Phone (540) 998-0000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

Interoperability endpoints

  • Direct secure messaging: kshah179379@direct-guthrie.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1490832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1659803518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184502",
            "telephone_number": "833-947-4927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 7TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184502",
            "telephone_number": "833-947-4927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KRUTI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-30",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AZ",
            "license": "67128",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "304699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.