Sentinel Healthcare TN

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SENTINEL HEALTHCARE TN

Practice address

1779 Kirby Pkwy # 18009
Memphis, TN 38138-3666

Phone

(480) 335-1865

Fax

(914) 497-3786

NPI assigned

Jul 20, 2021

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

SENTINEL HEALTHCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Nirav H. ShahNPI 1710277918

Title

Physician/Owner

Phone

(812) 760-5313

Specialties & licenses 1

Addresses

Part of

Sentinel Healthcare Corporation

Locations

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.

• Nirav H. Shah, M.D.

  • Vascular Neurology Physician
  • Memphis, TN
  • NPI 1710277918
  NPD Authorized official

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1679146427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13308",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852163308",
            "telephone_number": "480-335-1865",
            "fax_number": "914-663-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 KIRBY PKWY # 18009",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381383666",
            "telephone_number": "480-335-1865",
            "fax_number": "914-497-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENTINEL HEALTHCARE TN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENTINEL HEALTHCARE CORPORATION",
        "enumeration_date": "2021-07-20",
        "last_updated": "2023-09-06",
        "certification_date": "2021-07-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "NIRAV",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "812-760-5313"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seniorwell of Tennessee LLC (SeniorWell POD of Tennessee LLC)
• Seniorwell Pod of Tennessee LLC
• Sensational Artistic Designs LLC
• Sensory Wellness Group, LLC (Sensory Wellness Group)
• Carey Beth Zachary Senter, PHARMD
• Sentinel Neurological Services
• Vanessa Sepulveda, M.D.
• Serenity Companion Care
• Serenity Home Care Specialty ,LLC
• Serenity Homes LLC

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.