Individual provider Active NPI

Saqib Mian Shah, MD

  • Internal Medicine Physician
  • Pulaski, VA
National Provider Identifier
1730101593
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101230558 Issued in VA
Practice address
2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone
(540) 994-8100
Fax
(540) 994-8494
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 0101230558 VA
Hospitalist Physician 208M00000X 0101230558 VA
Internal Medicine Physician 207R00000X 0101230558 VA Primary

Addresses

Primary practice location

2400 Lee Hwy N
Pulaski, VA 24301-2326

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

800 Oak St
Farmville, VA 23901-1199
Phone (434) 392-8811

Other identifiers 1

IdentifierTypeStateIssuer
010222168MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050823000238 VA Practitioner - Internal MedicinePractitioner - Emergency Medicine 2466483169 Reassigns benefits to 6 organizations
I20170301000437 WV Practitioner - Emergency MedicinePractitioner - Internal Medicine 2466483169

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kingsford Emergency Group, LLCGroup PAC ID 3870841117, 14 clinicians

Practice addresses (Care Compare)

2400 Lee Hwy N
Pulaski, VA 24301-2326
Phone (540) 994-8100

Hospital & facility affiliations

  • Lewisgale Hospital Pulaski Hospital, Pulaski, VA, CCN 490116

Merit-based Incentive Payment System (MIPS)

Final score
89.73 of 100Reported as group
Quality
86.53
Improvement activities
40
Cost
86.33

Merit-based Incentive Payment System (MIPS)

Final score
99.05 of 100Reported as group
Quality
94.52
Improvement activities
40
Cost
88.33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101230558VAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Mar 14, 2019 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 18, 2019 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince May 1, 2012 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Jul 10, 2018 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Mar 14, 2019 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Jul 10, 2018 Accepting new patients
Alexandria Springfield Emergency Physicians PC Emergency Medicine CurrentSince Dec 18, 2019 Accepting new patients
Kingsford Physician Services, LLC Hospitalist CurrentSince Jul 30, 2018 Accepting new patients
Sterling Emergency Services of Virginia Inc Emergency Medicine Past Accepting new patients
Monacan Emgergency Physicians Emergency Medicine Past Accepting new patients
Ecs of Virginia, Inc. Emergency Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Virginia Em-I Medical Services, PC Emergency Medicine Past Accepting new patients
Martha Jefferson Hospital Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

3263 Proffit Rd
Charlottesvle, VA 22911
Phone (434) 654-4650

60 E Roslyn Ct
Colonial Hgts, VA 23834
Phone (804) 281-8100

727 N Main St
Emporia, VA 23847
Phone (434) 348-4400

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

2 Bernardine Dr
Newport News, VA 23602
Phone (757) 886-6000

200 Medical Park Blvd
Petersburg, VA 23805
Phone (804) 765-5000

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

12720 Tuckahoe Creek Pkwy
Richmond, VA 23238
Phone (804) 217-9091

2204 Wilborn Ave
South Boston, VA 24592
Phone (434) 517-3100

Organizations & group practices 14

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.

View all 14

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1730101593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LEE HWY N",
            "city": "PULASKI",
            "state": "VA",
            "postal_code": "243012326",
            "telephone_number": "540-994-8100",
            "fax_number": "540-994-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Oak St",
            "address_purpose": "LOCATION",
            "city": "Farmville",
            "state": "VA",
            "postal_code": "239011199",
            "country_code": "US",
            "telephone_number": "434-392-8811",
            "fax_number": "904-346-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAQIB",
        "middle_name": "MIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101230558",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101230558",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101230558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010222168",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pulaski, VA

Sources for this page

Verify at the official NPI Registry.