Individual provider Active NPI

Dhiren Shah

  • Internal Medicine Physician
  • Prince Frederick, MD
National Provider Identifier
1689693483
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0050290 Issued in MD
Practice address
110 Hospital Rd
Prince Frederick, MD 20678-4019
Phone
(410) 535-4333
Fax
(410) 535-0495
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0050290 MD Primary

Addresses

Primary practice location

110 Hospital Rd
Prince Frederick, MD 20678-4019

Mailing address

24035 Three Notch Rd
Hollywood, MD 20636-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20101027000701 MD Practitioner - Internal Medicine 1254525918 Reassigns benefits to 1 organization
I20201111001686 DC Practitioner - Internal Medicine 1254525918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group - Southern Maryland LLCGroup PAC ID 1355667056, 241 clinicians

Practice addresses (Care Compare)

10 Saint Patricks Dr
Waldorf, MD 20603-4527
Phone (301) 373-7900

130 Hospital Rd
Suite 300
Prince Frederick, MD 20678-4057
Phone (410) 535-4333

24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900

4240 Altamont PL
White Plains, MD 20695-3052
Phone (301) 373-7900

950 E Swann Creek Rd
Fort Washington, MD 20744
Phone (301) 292-7270

PO Box
Suite 640
Hollywood, MD 20636-0640

Hospital & facility affiliations

  • Homecall Home health agency, Easton, MD, CCN 217066
  • Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138

Merit-based Incentive Payment System (MIPS)

Final score
81.41 of 100Reported as group
Quality
61.45
Promoting interoperability
96
Improvement activities
40
Cost
79.91

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0050290MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group - Southern Maryland LLC Internal Medicine CurrentSince Apr 1, 2015 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Nov 1, 2020 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Medstar Southern Maryland Physicians, LLC Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

22650 Cedar Lane Ct
Leonardtown, MD 20650
Phone (301) 475-5021

130 Hospital Rd
Ste 300
Prince Frederick, MD 20678
Phone (410) 535-4333

Interoperability endpoints

  • Direct secure messaging: dhiren.shahmd.p2@direct.msmg.nextgenshare.com

Organizations & group practices 5

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 2

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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689693483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24035 THREE NOTCH RD",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784019",
            "telephone_number": "410-535-4333",
            "fax_number": "410-535-0495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHIREN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0050290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prince Frederick, MD

Sources for this page

Verify at the official NPI Registry.