NPIMap

Individual provider Active NPI

Jay Arvind Shah, M.D.

  • Nephrology Physician
  • Camp Hill, PA
National Provider Identifier
1679736813
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD432582 Issued in PA
Practice address
207 House Ave Ste 110
Camp Hill, PA 17011-2308
Phone
(717) 972-2821
Fax
(717) 972-2845
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD432582 PA
Nephrology Physician 207RN0300X MD432582 PA Primary

Addresses

Primary practice location

207 House Ave Ste 110
Camp Hill, PA 17011-2308

Mailing address

PO Box 2
Camp Hill, PA 17001-0002
Phone (717) 972-2821

Other practice location 1

205 Grandview Ave
Suite 402
Camp Hill, PA 17011-1708
Phone (717) 972-2821

Other practice location 2

205 Grandview Ave
Suite 402
Camp Hill, PA 17011-1708
Phone (717) 972-2821

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
I20101028000976 PA Practitioner - NephrologyPractitioner - Internal Medicine 5799979290 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney Care Specialists LLCGroup PAC ID 9931450079, 41 clinicians
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

Practice addresses (Care Compare)

1001 Reed Ave
Suite 410
Reading, PA 19610-2731
Phone (610) 258-3608

207 House Ave
Suite 110
Camp Hill, PA 17011-2308
Phone (717) 972-2821

2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363

75 Evelyn Dr
Millersburg, PA 17061-1258
Phone (717) 972-2821

Hospital & facility affiliations

  • FKC Capital Area Dialysis facility, Harrisburg, PA, CCN 392672
  • FKC Millersburg Dialysis facility, Millersburg, PA, CCN 392650
  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Penn State Health Holy Spirit Medical Center Hospital, Camp Hill, PA, CCN 390004
  • Upmc Memorial Hospital, York, PA, CCN 390101
  • Select Specialty Hospital - Central PA Harrisburg Long-term care hospital, Harrisburg, PA, CCN 392039

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD432582PAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney Care Specialists LLC Nephrology CurrentSince Jun 1, 2022 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2019 Accepting new patients
Pinnacle Health Medical Services Internal Medicine Current Accepting new patients
Pinnacle Health Medical Services CurrentSince Jun 1, 2019 Accepting new patients
Valley Kidney Specialists, P.C. Nephrology PastSince Jun 1, 2022 Accepting new patients
Hershey Kidney Specialists Inc Nephrology PastSince Oct 1, 2004 Accepting new patients

Locations

1230 S Cedar Crest Blvd
Ste 301
Allentown, PA 18103
Phone (610) 432-4873

95 Highland Ave
Ste 309
Bethlehem, PA 18017
Phone (484) 245-1110

2000 Sproul Rd
Ste 300
Broomall, PA 19008
Phone (610) 356-3700

207 House Ave
Ste 110
Camp Hill, PA 17011

850 Walnut Bottom Rd
Ste 103
Carlisle, PA 17013
Phone (717) 218-3505

4343 Union Deposit Rd
Harrisburg, PA 17111
Phone (717) 564-5690

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

Interoperability endpoints

  • Direct secure messaging: jshah33574@direct.acumenmd.com

Organizations & group practices 6

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.

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1679736813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170010002",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HOUSE AVE STE 110",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112308",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Grandview Ave",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170111708",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Grandview Ave",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Camp Hill",
            "state": "PA",
            "postal_code": "170111708",
            "country_code": "US",
            "telephone_number": "717-972-2821",
            "fax_number": "717-972-2845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAY",
        "middle_name": "ARVIND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD432582",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD432582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.