Dipak Shah, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

R9354 Issued in MO

Practice address

19609 E 9TH St S
Independence, MO 64056-3088

Phone

(816) 796-1412

Fax

(816) 796-3398

NPI assigned

Mar 7, 2006

Last updated

Mar 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medical Plaza Imaging Associates, LLC

  dba St. Luke's Outpatient Imaging

  • Diagnostic Radiology Physician
  • Kansas City, MO
  • NPI 1356418156

  Body Imaging

  NPD (past)
• Northland Imaging, LLC

  • Radiology Clinic/Center
  • Kansas City, MO
  • NPI 1851441505
  NPD (past)
• Encompass Medical Group, PA

  dba Encompass Medical Group, PC

  • General Practice Physician
  • Overland Park, KS
  • NPI 1063457299

  Body Imaging

  NPD (past)

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205366400000",
    "number": "1699742809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3808 W 153RD ST",
            "city": "LEAWOOD",
            "state": "KS",
            "postal_code": "662243849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19609 E 9TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640563088",
            "telephone_number": "816-796-1412",
            "fax_number": "816-796-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPAK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2008-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "R9354",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": "04-30973",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "MO",
            "license": "R9354",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00371599",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00238773",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00223649",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Serc Rehabilitation Partners LLC
• Vincent Seutter, LMT
• Dana Laurie Shafer, LCSW
• Sobia H Shaffie, MD
• Devki Shailesh Shah, PA-C
• Pankti Shah, D.O
• Muhammad Salman Shahid
• Mohammed Ashwaq Hussain Shaik
• Ghazal Abbas Shaikh, M.D.
• Shalom Hospice Missouri (Shalom Hospice MO)

• Diagnostic Radiology Physician in Independence, MO
• Providers in Independence, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.