Individual provider Active NPI

Dhirenkumar Navnitlal Shah, MD

  • Cardiovascular Disease Physician
  • Cary, NC
National Provider Identifier
1699763391
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
34732 Issued in NC
Practice address
300 Keisler Dr Ste 204
Cary, NC 27518-7083
Phone
(919) 233-0059
NPI assigned
Oct 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 34732 NC Primary

Addresses

Primary practice location

300 Keisler Dr Ste 204
Cary, NC 27518-7083

Mailing address

300 Keisler Dr Ste 204
Cary, NC 27518-7083
Phone (919) 233-0059

Other identifiers 6

IdentifierTypeStateIssuer
110068402OtherRAILROAD MEDICARE
46398OtherMEDCOST
7975405MedicaidNC
2806804OtherCIGNA HEALTHCARE
2550134OtherUNITED HEALTHCARE
75405OtherNCNC BLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dshah14153@directHISP.wakemed.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040721001392 NC Practitioner - Cardiovascular Disease (Cardiology) 6901886886 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

300 Keisler Dr
Cary, NC 27518-7083
Phone (919) 350-0554

Hospital & facility affiliations

  • Wakemed, Raleigh Campus Hospital, Raleigh, NC, CCN 340069
  • Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34732NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Oct 1, 2024 Accepting new patients
Raleigh Cardiology Associates, PA Cardiovascular Disease Current Accepting new patients
Wakemed CurrentSince Apr 16, 2009 Accepting new patients
Wake Medical Laboratory Consultants Inc Current Accepting new patients
Wakemed Specialists Group, LLC Cardiovascular Disease Current Accepting new patients
Wakemed CurrentSince Apr 16, 2009 Accepting new patients
Raleigh Pathology Laboratory Associates PA Current Accepting new patients
Wakemed Specialists Group LLC Cardiovascular Disease CurrentSince Oct 1, 2024 Accepting new patients
Wake Specialty Physicians, LLC Past Accepting new patients
Rex Hospital, Inc. Past Accepting new patients

Locations

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

300 Keisler Dr
Cary, NC 27518
Phone (919) 230-4434

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

300 Keisler Dr
Ste 204
Cary, NC 27518
Phone (919) 233-0059

145 Tilghman Dr
Dunn, NC 28334
Phone (910) 891-7007

400 Attain St
Fuquay Varina, NC 27526
Phone (984) 377-8675

400 US 70 Hwy E
Garner, NC 27529
Phone (919) 235-6400

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

535 W Gannon Ave
Zebulon, NC 27597
Phone (800) 682-7527

Interoperability endpoints

  • Direct secure messaging: dshah14153@directhisp.wakemed.org

Organizations & group practices 10

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 3

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1699763391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "919-233-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KEISLER DR STE 204",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187083",
            "telephone_number": "919-233-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DHIRENKUMAR",
        "middle_name": "NAVNITLAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-07",
        "last_updated": "2021-08-03",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "34732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110068402",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "46398",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7975405",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "2806804",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2550134",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUE CROSS BLUE SHIELD",
            "identifier": "75405",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshah14153@directHISP.wakemed.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "XML",
            "address_1": "300 Keisler Dr Ste 204",
            "city": "Cary",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275187083",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.