Individual provider Active NPI

Bhumik Shah, M.D.

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1689938797
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD487253 Issued in PA
Practice address
7600 Central Ave
Philadelphia, PA 19111-2442
Phone
(215) 728-2275
NPI assigned
Jul 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 078275 GA
Internal Medicine Physician 207R00000X MD487253 PA Primary
Internal Medicine Physician 207R00000X Q4691 TX
Hospitalist Physician 208M00000X 078275 GA

Addresses

Primary practice location

7600 Central Ave
Philadelphia, PA 19111-2442

Mailing address

3500 N Broad St RM 1a
Philadelphia, PA 19140-4106
Phone (215) 926-9019

Other practice location 1

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Other practice location 2

1900 Pine St
Abilene, TX 79601-2432
Phone (325) 670-2000

Other practice location 3

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (678) 838-2585

Other practice location 4

35 Collier Rd NW Ste 635
Atlanta, GA 30309-1611
Phone (404) 367-3014

Other identifiers 1

IdentifierTypeStateIssuer
125061399OtherILPHYSICIAN TEMPORARY LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, IL, DC, PA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20151207000393 ND Practitioner - HospitalistPractitioner - Internal Medicine 8527373711 Reassigns benefits to 1 organization
I20200603001298 IL Practitioner - Internal MedicinePractitioner - Hospitalist 8527373711 Reassigns benefits to 3 organizations
I20231112000018 DC Practitioner - Hospitalist 8527373711 Reassigns benefits to 1 organization
I20241122001409 PA Practitioner - Internal MedicinePractitioner - Hospitalist 8527373711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians

Practice addresses (Care Compare)

300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000

Hospital & facility affiliations

  • Sanford Medical Center Bismarck Hospital, Bismarck, ND, CCN 350015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Physicians Inc. Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Temple Physician Inc. Internal Medicine CurrentSince Dec 1, 2024 Accepting new patients
Pekin Prohealth Inc Internal Medicine CurrentSince Mar 9, 2020 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Sanford Bismarck CurrentSince Mar 17, 2020 Accepting new patients
Sanford Bismarck CurrentSince Mar 17, 2020 Accepting new patients
Proctor Health Systems CurrentSince Mar 9, 2020 Accepting new patients
Proctor Health Systems Internal Medicine CurrentSince Mar 9, 2020 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 1, 2023 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Jan 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 9, 2020 Accepting new patients
Temple Physicians Inc Internal Medicine Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Sanford Bismarck Past Accepting new patients
Emory Specialty Associates, LLC Internal Medicine Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

600 S 13th St
#D
Pekin, IL 61554
Phone (309) 353-7500

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

221 NE Glen Oak Ave
Ste 514W
Peoria, IL 61636
Phone (309) 672-5733

815 Main St
Ste A1
Peoria, IL 61602

7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000

300 N 7th St
Bismarck, ND 58501
Phone (701) 323-6153

3318 N 14th St
Bismarck, ND 58503
Phone (701) 323-8300

300 2nd Ave NE
Jamestown, ND 58401
Phone (701) 251-6000

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

3500 N Broad St
Rm 1A
Philadelphia, PA 19140
Phone (215) 707-2433

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

Organizations & group practices 16

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 16

Hospital & facility affiliations 1

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1689938797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N BROAD ST RM 1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191404106",
            "telephone_number": "215-926-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 CENTRAL AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191112442",
            "telephone_number": "215-728-2275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Pine St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012432",
            "country_code": "US",
            "telephone_number": "325-670-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Pine St",
            "address_purpose": "LOCATION",
            "city": "Abilene",
            "state": "TX",
            "postal_code": "796012432",
            "country_code": "US",
            "telephone_number": "325-670-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "678-838-2585",
            "fax_number": "678-838-2587",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35 Collier Rd NW Ste 635",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303091611",
            "country_code": "US",
            "telephone_number": "404-367-3014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHUMIK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-03",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "078275",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD487253",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q4691",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "078275",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN TEMPORARY LICENSE NUMBER",
            "identifier": "125061399",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.