Individual provider Active NPI

Aajay Shah, M.D.

  • Cardiovascular Disease Physician
  • Marshall, MI
National Provider Identifier
1710933932
Registry record updated Dec 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
4301055396 Issued in MI
Practice address
215 E Mansion St
Suite 2F
Marshall, MI 49068-1559
Phone
(269) 789-8272
Fax
(269) 789-8273
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2014

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 4301055396 MI Primary

Addresses

Primary practice location

215 E Mansion St
Suite 2F
Marshall, MI 49068-1559

Mailing address

215 E Mansion St
Suite 2F
Marshall, MI 49068-1559
Phone (269) 789-8272

Other identifiers 10

IdentifierTypeStateIssuer
200084480MedicaidIN
2500022OtherMIPHP OF MI
4673296MedicaidMI
000000792050OtherINBCBS
0603311491OtherMIBCBSM PROVIDER
010056753OtherMIRAILROAD MEDICARE
P90592OtherMIBLUE CARE NETWORK
0331149OtherMIBCBS AND BCN PIN
4301055396OtherMISTATE LICENSE
861085123OtherMIFEDERAL TAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20040721000588 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5294714416 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Medical Group PromedGroup PAC ID 7315856077, 255 clinicians

Practice addresses (Care Compare)

215 E Mansion St
Marshall, MI 49068-1559
Phone (269) 789-9130

Hospital & facility affiliations

  • Borgess Medical Center Hospital, Kalamazoo, MI, CCN 230117
  • Oaklawn Hospital Hospital, Marshall, MI, CCN 230217

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ella E M Brown Charitable Circle CurrentSince Nov 4, 2013 Accepting new patients
Ella E M Brown Charitable Circle Internal Medicine CurrentSince Nov 4, 2013 Accepting new patients
Ascension Borgess Hospital CurrentSince Apr 3, 2022 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Apr 3, 2022 Accepting new patients
Promed Healthcare CurrentSince Apr 3, 2022 Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Apr 3, 2022 Accepting new patients
Lansing Cardiovascular Consultants PC Cardiovascular Disease Past Accepting new patients

Locations

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

11320 S M 43 Hwy
Ste 2
Delton, MI 49046
Phone (269) 623-2334

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938

215 E Mansion St
Marshall, MI 49068
Phone (269) 789-3940

215 E Mansion St
Ste 2C
Marshall, MI 49068
Phone (269) 789-4386

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

215 E Mansion St
Ste 2F
Marshall, MI 49068
Phone (269) 781-2111

671 Allegan St
Plainwell, MI 49080
Phone (269) 685-1002

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1710933932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST",
            "address_2": "SUITE 2F",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681559",
            "telephone_number": "269-789-8272",
            "fax_number": "269-789-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MANSION ST",
            "address_2": "SUITE 2F",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681559",
            "telephone_number": "269-789-8272",
            "fax_number": "269-789-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AAJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "4301055396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084480",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP OF MI",
            "identifier": "2500022",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4673296",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000000792050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM PROVIDER",
            "identifier": "0603311491",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "010056753",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P90592",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AND BCN PIN",
            "identifier": "0331149",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4301055396",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "861085123",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.