NPIMap

Organization Active NPI

Atul Shetty, MD LLC

  • Internal Medicine Physician
  • Weirton, WV
National Provider Identifier
1730117326
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
19885 Issued in WV
Legal business name
ATUL SHETTY, MD LLC
Practice address
485 Colliers Way
Suite M
Weirton, WV 26062-5012
Phone
(304) 723-5400
Fax
(304) 723-5401
NPI assigned
Jun 30, 2006
Last updated
Jun 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Authorized official

Name
Dr. Atul S Shetty, MDNPI 1801884556
Title
Owner
Phone
(304) 723-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19885 WV Primary

Addresses

Primary practice location

485 Colliers Way
Suite M
Weirton, WV 26062-5012

Mailing address

PO Box 2154
Weirton, WV 26062-1354
Phone (304) 723-5400

Other identifiers 1

IdentifierTypeStateIssuer
0207537000MedicaidWV

National Provider Directory

National Provider Directory

Locations

1928 Park Manor Blvd
Ste 507
Pittsburgh, PA 15205
Phone (412) 494-5566

100 Wyngate Dr
Weirton, WV 26062
Phone (304) 723-7004

610 N 10th St
Weirton, WV 26062
Phone (304) 748-3943

1500 Brinker Rd
Wellsburg, WV 26070
Phone (304) 737-0851

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1730117326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2154",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260621354",
            "telephone_number": "304-723-5400",
            "fax_number": "304-723-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 COLLIERS WAY",
            "address_2": "SUITE M",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625012",
            "telephone_number": "304-723-5400",
            "fax_number": "304-723-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATUL SHETTY, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "SHETTY",
        "authorized_official_first_name": "ATUL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-723-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "19885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207537000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weirton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.