Individual provider Active NPI

Basil Shah, MD

  • Diagnostic Radiology Physician
  • Winston Salem, NC
National Provider Identifier
1679684872
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101269688 Issued in VA
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

Updated by the provider on Mar 31, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
107229OtherLAAL MEDICAID
00188398OtherMS MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, GA, NC, PA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20040721001320 VA Practitioner - Diagnostic Radiology 4082694955 Reassigns benefits to 2 organizations
I20201222002075 SC Practitioner - Diagnostic Radiology 4082694955 Reassigns benefits to 1 organization
I20230417000620 GA Practitioner - Diagnostic Radiology 4082694955 Reassigns benefits to 6 organizations
I20241202000982 NC Practitioner - Diagnostic Radiology 4082694955 Reassigns benefits to 1 organization
I20260112003308 PA Practitioner - Diagnostic Radiology 4082694955 Reassigns benefits to 1 organization

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
Emory Specialty Associates, LLCGroup PAC ID 3476559782, 706 clinicians
Universal Radiology Consultants PCGroup PAC ID 2769485655, 28 clinicians
University of Virginia Physicians GroupGroup PAC ID 4880590728, 1,685 clinicians
Foundation Radiology Group PCGroup PAC ID 3779683537, 90 clinicians

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 Hospital, Warner Robins, GA, CCN 110069
  • Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089
  • Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Merit-based Incentive Payment System (MIPS)

Final score
94.83 of 100Reported as group
Quality
89.67
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
96.75 of 100Reported as group
Quality
96.18
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101269688VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scranton Quincy Clinic Company LLC CurrentSince Oct 24, 2025 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Carolina Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Coastal Radiology Associates, PLLC Specialist CurrentSince Feb 14, 2024 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Apr 28, 2024 Accepting new patients
Universal Radiology Consultants PC Diagnostic Radiology CurrentSince Jan 1, 2023 Accepting new patients
Scranton Quincy Clinic Company LLC CurrentSince Oct 24, 2025 Accepting new patients
Uva Outpatient Imaging Culpeper, LLC Diagnostic Radiology CurrentSince Feb 1, 2026 Accepting new patients
University of Virginia Physicians Group CurrentSince Mar 1, 2026 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince May 4, 2024 Accepting new patients
Wake Forest University Health Sciences CurrentSince Aug 26, 2024 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

  • Direct secure messaging: bshah2938452@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: 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.

View all 15

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.