Active NPI
Sagar Amit Shah, MD
- Orthopaedic Hand Surgery Physician
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Hand Surgery Physician
- License
- 333208
- Practice address
- 4212 W Congress St Ste 3100
Lafayette, LA 70506-6771 - Phone
- (804) 704-1079
- NPI assigned
- Apr 3, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 333208 | LA | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | 2024-00367 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4212 W Congress St Ste 3100
Lafayette, LA 70506-6771
Mailing address
4212 W Congress St Ste 3100
Lafayette, LA 70506-6771
Phone (337) 703-3202
Other practice location 1
100 Kellie Dr
Smithfield, NC 27577-9444
Phone (919) 220-5255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Virginia Commonwealth University, School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1005 N Glebe Rd
Arlington, VA 22201-5758
3289 Woodburn Rd
Annandale, VA 22003-6800
Phone (703) 641-8616
3299 Woodburn Rd
Annandale, VA 22003-7326
Phone (703) 205-2626
3300 Gallows Rd
Falls Church, VA 22042-3307
6355 Walker LN
Alexandria, VA 22310-3251
7508 Iron Bar LN
Gainesville, VA 20155-2999
Phone (703) 490-6726
Hospital & facility affiliations
- Inova Fairfax Hospital
- Inova Alexandria Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2024-00367 | NC | MD | Orthopaedic Hand Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inova Health Care Services | Current | Accepting new patients | |
| Inova Health Care Services | Current | Accepting new patients | |
| Emergeortho PA | Past | Accepting new patients |
Locations
6355 Walker Ln
Ste 202
Alexandria, VA 22310
Phone (703) 810-5210
3299 Woodburn Rd
Ste 370
Annandale, VA 22003
Phone (703) 573-2066
1005 N Glebe Rd
Ste 160
Arlington, VA 22201
Phone (571) 472-6464
Interoperability endpoints
- sshah1441242@soc.inova.org
Organizations & group practices 3
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.
-
- Medical Technologist
- Sterling, VA
- NPI 1699655589
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, VA
- NPI 1255684460
-
- Rehabilitation Hospital Unit
- Falls Church, VA
- NPI 1588795462
-
- General Acute Care Hospital
- Falls Church, VA
- NPI 1831220714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1679936959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4212 W CONGRESS ST STE 3100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066771",
"telephone_number": "337-703-3202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4212 W CONGRESS ST STE 3100",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705066771",
"telephone_number": "804-704-1079"
}
],
"practiceLocations": [
{
"address_1": "100 Kellie Dr",
"address_purpose": "LOCATION",
"city": "Smithfield",
"state": "NC",
"postal_code": "275779444",
"country_code": "US",
"telephone_number": "919-220-5255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "SAGAR",
"middle_name": "AMIT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-03",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "LA",
"license": "333208",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "NC",
"license": "2024-00367",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.