NPIMap

Individual provider Active NPI

Waqar A Shah, MD

  • Vascular & Interventional Radiology Physician
  • Du Bois, PA
National Provider Identifier
1669488342
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
MD430135 Issued in PA
Practice address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone
(814) 375-3621
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Ohio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monongahela Valley Hospital Inc 41 clinicians

Practice addresses (Care Compare)

1163 Country Club Rd
Monongahela, PA 15063-1013
Phone (724) 997-3470

Hospital & facility affiliations

  • Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147
  • Penn Highlands Connellsville Hospital, Connellsville, PA, CCN 390184

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070727000408 PA Practitioner - Diagnostic Radiology 8729188693 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NONENYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Monongahela Valley Hospital Inc Current Accepting new patients
Dubois Regional Medical Center Vascular & Interventional Radiology CurrentSince Dec 1, 2022 Accepting new patients
Imaging Associates of Greater Pittsburgh CurrentSince Jun 1, 2018 Accepting new patients
Monongahela Valley Hospital, Inc. Vascular & Interventional Radiology CurrentSince Nov 7, 2022 Accepting new patients
Highlands Hospital and Health Center CurrentSince Dec 1, 2022 Accepting new patients
Advanced Imaging Mobile Ultrasound Services CurrentSince Jan 1, 2019 Accepting new patients
Highlands Hospital and Health Center CurrentSince Dec 1, 2022 Accepting new patients
Dubois Regional Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Monongahela Valley Hospital, Inc. CurrentSince Nov 7, 2022 Accepting new patients
Raintree MRI Services Inc Past Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

1163 Country Club Rd
#H
Monongahela, PA 15063
Phone (724) 258-1000

1163 Country Club Rd
Monongahela, PA 15063
Phone (724) 258-1000

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X NONE NY
Vascular & Interventional Radiology Physician 2085R0204X MD430135 PA Primary

Addresses

NPPES NPI Registry

Primary practice location

100 Hospital Ave
Du Bois, PA 15801-1440

Mailing address

PO Box 1106
Du Bois, PA 15801-0906
Phone (814) 371-1784

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
PENDINGMedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2007.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1669488342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1106",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158010906",
            "telephone_number": "814-371-1784",
            "fax_number": "814-371-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL AVE",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158011440",
            "telephone_number": "814-375-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "WAQAR",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "NONE",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD430135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, PA

Sources for this page

Verify at the official NPI Registry.