Dushantkumar K Shah, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

147371-1 Issued in NY

Practice address

27 Grand St
Kingston, NY 12401-3933

Phone

(845) 338-1535

Fax

(845) 334-9879

NPI assigned

Apr 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJAHCA

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.

• D.K. Shah MD, P.C.

  • Internal Medicine Physician
  • Kingston, NY
  • NPI 1508820309
  NPD (past) Authorized official
• Northern Medical Group, PLLC

  • Internal Medicine Physician
  • Brewster, NY
  • NPI 1174994826
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1669437877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 COUNTRY CLUB LN",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124018610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GRAND ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124013933",
            "telephone_number": "845-338-1535",
            "fax_number": "845-334-9879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DUSHANTKUMAR",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "147371-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00683963",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kate Arlene Selzo, LMSW
• Mary Ann Serian, CRNA
• Sandra Serinsky Feiden, RN
• Harneet Sethi, MD
• Lauren Loughlin Sette, PHD
• Falak B Shah, MD
• Melissa D Shah, M.D.
• Dorothy Shanahan-Roberge, BA, RN
• Rasheedah Shardow, MD
• Yasar Sharif, M.D.

• Internal Medicine Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.