Individual provider Active NPI

Kirit C. Shah, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1699783035
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42536 Issued in CA
Practice address
900 S 1St Ave
Suite a
Arcadia, CA 91006-3919
Phone
(626) 445-5577
Fax
(626) 445-2155
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2010

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 A42536 CA Primary

Addresses

Primary practice location

900 S 1St Ave
Suite a
Arcadia, CA 91006-3919

Mailing address

900 S 1St Ave
Suite a
Arcadia, CA 91006-3919
Phone (626) 445-5577

Other identifiers 1

IdentifierTypeStateIssuer
00A425360MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090521000447 CA Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Geriatric MedicinePractitioner - Preventive MedicinePractitioner - Emergency Medicine 9931258183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine, Family Practice, Geriatric Medicine, Preventive Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 S 1St Ave
Suite a
Arcadia, CA 91006-7527
Phone (626) 445-5577

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A42536CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kirit Shah, M.D. Inc. Internal Medicine CurrentSince Jul 2, 1987 Accepting new patients
Dignity Community Care Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Ahmc San Gabriel Valley Medical Past Accepting new patients

Locations

909 S Santa Anita Ave
Ste D
Arcadia, CA 91006
Phone (626) 445-5577

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

900 S 1st Ave
Ste A
Arcadia, CA 91006
Phone (626) 445-5577

15944 Los Serranos Country Club Dr
Ste 120
Chino Hills, CA 91709
Phone (909) 203-3766

931 Buena Vista St
Ste 504
Duarte, CA 91010
Phone (626) 358-2576

824 S Gladys Ave
San Gabriel, CA 91776
Phone (626) 287-0753

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1699783035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S 1ST AVE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063919",
            "telephone_number": "626-445-5577",
            "fax_number": "626-445-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S 1ST AVE",
            "address_2": "SUITE A",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063919",
            "telephone_number": "626-445-5577",
            "fax_number": "626-445-2155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KIRIT",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A425360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.