Active NPI
Basil Shah, MD
- Diagnostic Radiology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0101269688
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 716-7243
- Fax
- (367) 167-4323
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 22774 | MS | |
| Specialist | 174400000X | 4301077845 | MI | |
| Diagnostic Radiology Physician | 2085R0202X | 2020-02857 | NC | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 22774 | MS | |
| Diagnostic Radiology Physician | 2085R0202X | 0101269688 | VA | Primary |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-7243
Other practice location 1
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073
Other practice location 2
1340 Broad Ave
Suite 450
Gulfport, MS 39501-2404
Phone (228) 867-5006
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107229 | Other | LA | AL MEDICAID |
| 00188398 | Other | MS MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, SC, GA, NC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1364 Clifton Rd NE
Atlanta, GA 30322-1059
Phone (404) 778-3900
1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281
8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073
959 Auburn Rd
Dacula, GA 30019-1209
Phone (228) 697-2666
Hospital & facility affiliations
- Emory Houston Hospital Warner Robins
- Coffee Regional Medical Center, Inc
- Wellstar Spalding Medical Center
- Uva Health Haymarket Medical Center
- Uva Health Culpeper Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.83 of 100
- Quality
- 89.67
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.75 of 100
- Quality
- 96.18
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101269688 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scranton Quincy Clinic Company LLC | Current | Accepting new patients | |
| Foundation Radiology Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Carolina Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Coastal Radiology Associates, PLLC | Specialist | Current | Accepting new patients |
| Greensboro Radiology, PA | Diagnostic Radiology | Current | Accepting new patients |
| Universal Radiology Consultants PC | Diagnostic Radiology | Current | Accepting new patients |
| Scranton Quincy Clinic Company LLC | Current | Accepting new patients | |
| Uva Outpatient Imaging Culpeper, LLC | Diagnostic Radiology | Current | Accepting new patients |
| University of Virginia Physicians Group | Current | Accepting new patients | |
| Northside Radiology Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Dr L Reynolds Assoc PC | Specialist | Past | Accepting new patients |
| Administrators of the Tulane Educational Fund | Specialist | Past | Accepting new patients |
| Emory Specialty Associates, LLC | Past | Accepting new patients |
Locations
1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706
1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737
1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
1000 Meade St
Ste 101
Dunmore, PA 18512
Phone (570) 504-2500
315 S Main St
Old Forge, PA 18518
Phone (570) 457-8364
746 Jefferson Ave
Scranton, PA 18510
Phone (570) 340-5079
700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
809 82nd Pkwy
Myrtle Beach, SC 29572
Phone (843) 291-7182
415 Ray C Hunt Dr
#1100
Charlottesville, VA 22903
Phone (434) 243-8189
2280 Ivy Rd
Ste 2305
Charlottesville, VA 22903
Phone (434) 243-9198
1215 Lee St
Fl 8
Charlottesvle, VA 22908
Phone (434) 924-2500
8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000
Interoperability endpoints
- bshah2938452@carolinashealthcaresystem.direct-ci.com
- bshah24805@directmcleodehealth.org
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.
-
- Diagnostic Radiology Physician
- Warner Robins, GA
- NPI 1689606188
-
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Charlottesville, VA
- NPI 1033138250
-
- Anesthesiology Physician
- Lagrange, GA
- NPI 1407864168
-
- Diagnostic Radiology Physician
- New Bern, NC
- NPI 1144270307
GA, Specialist
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Diagnostic Radiology Physician
- Conway, SC
- NPI 1225014657
-
- Diagnostic Radiology Physician
- Atlanta, GA
- NPI 1013960657
-
- Family Medicine Physician
- Scranton, PA
- NPI 1508143074
-
- Diagnostic Radiology Physician
- Charlottesville, VA
- NPI 1720233596
-
- Obstetrics & Gynecology Physician
- Scranton, PA
- NPI 1548547946
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Douglas, GA
- NPI 1760419527
-
- General Acute Care Hospital
- Perry, GA
- NPI 1891808499
-
- General Acute Care Hospital
- Warner Robins, GA
- NPI 1962435792
-
- General Acute Care Hospital
- Culpeper, VA
- NPI 1669538047
-
- General Acute Care Hospital
- Haymarket, VA
- NPI 1124369137
-
- General Acute Care Hospital
- Griffin, GA
- NPI 1972535318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774915200000",
"number": "1679684872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-7243",
"fax_number": "336-716-7432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-716-7243",
"fax_number": "367-167-4323"
}
],
"practiceLocations": [
{
"address_1": "8700 Sudley Rd",
"address_purpose": "LOCATION",
"city": "Manassas",
"state": "VA",
"postal_code": "201104418",
"country_code": "US",
"telephone_number": "703-369-8073",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1340 Broad Ave",
"address_2": "Suite 450",
"address_purpose": "LOCATION",
"city": "Gulfport",
"state": "MS",
"postal_code": "395012404",
"country_code": "US",
"telephone_number": "228-867-5006",
"fax_number": "228-867-5079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "BASIL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MS",
"license": "22774",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MI",
"license": "4301077845",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "2020-02857",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MS",
"license": "22774",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101269688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL MEDICAID",
"identifier": "107229",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS MEDICAID",
"identifier": "00188398",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.