Active NPI
Bhumik Shah, M.D.
- Internal Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD487253
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125061399 | Other | IL | PHYSICIAN TEMPORARY LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND, IL, DC, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 2ND Ave NE
Jamestown, ND 58401-3373
Phone (701) 251-6000
Hospital & facility affiliations
- Sanford Medical Center Bismarck
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Temple Physicians Inc. | Internal Medicine | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Temple Physician Inc. | Internal Medicine | Current | Accepting new patients |
| Pekin Prohealth Inc | Internal Medicine | Current | Accepting new patients |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Sanford Bismarck | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Proctor Health Systems | Internal Medicine | Current | Accepting new patients |
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Penn State Health Medical Group, LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | 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.
-
- Multi-Specialty Clinic/Center
- Bismarck, ND
- NPI 1811941172
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Diagnostic Radiology Physician
- Harrisburg, PA
- NPI 1457824013
-
- Hematology & Oncology Physician
- Harrisburg, PA
- NPI 1861988644
-
- Internal Medicine Physician
- Feasterville Trevose, PA
- NPI 1174497366
-
- Internal Medicine Physician
- Rockledge, PA
- NPI 1922159177
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bismarck, ND
- NPI 1538245634
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.