Shirish a. Amin M.D., P.C.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

SHIRISH A. AMIN M.D., P.C.

Practice address

1265 Wayne Ave
119 Professional Center Suite 301
Indiana, PA 15701-3501

Phone

(724) 465-6650

Fax

(724) 357-9281

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Shirish A Amin, M.D.NPI 1114903994

Title

Physician

Phone

(724) 465-6650

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirish A Amin, MD

  • Gastroenterology Physician
  • Indiana, PA
  • NPI 1114903994
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1720013733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER SUITE 301",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-6650",
            "fax_number": "724-357-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 WAYNE AVE",
            "address_2": "119 PROFESSIONAL CENTER SUITE 301",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013501",
            "telephone_number": "724-465-6650",
            "fax_number": "724-357-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRISH A. AMIN M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "SHIRISH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "724-465-6650",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017069000004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amin@amin.mdreports.phimailbox.com",
            "affiliation": "N",
            "address_1": "1265 Wayne Ave",
            "address_2": "119 Professional Center Suite 301",
            "city": "Indiana",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157013501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Rose Sherry, PA
• Jagadeesha N Shetty, M.D.
• Samantha Paige Shilling, BS
• Michelle Lynn Shimps, RN
• Blaine Scott Shindel, LSW
• Shirley Eye Care LLC
• Matthew Paul Shirley, O.D.
• Jennifer May Shobert, PA-C
• Susan Nolin Shopland, PSY.D.
• Lilian Shotts, CRNP-BC

• Gastroenterology Physician in Indiana, PA
• Providers in Indiana, PA by specialty
• Gastroenterology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.