Mehul Jitendra Shah, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

0103300893 Issued in VA

Practice address

224A Cornwall St NW
Loudoun Community Health Center
Leesburg, VA 20176-2701

Phone

(703) 443-2120

Fax

(703) 443-2033

NPI assigned

Feb 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Physicians Health Solutions

  • Foot Surgery Podiatrist
  • Leesburg, VA
  • NPI 1043441223
  NPD (past)
• Podiatric Care of Northern Virginia, PC

  • Foot Surgery Podiatrist
  • Leesburg, VA
  • NPI 1144360058
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1730155896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201460616",
            "telephone_number": "703-443-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224A CORNWALL ST NW",
            "address_2": "LOUDOUN COMMUNITY HEALTH CENTER",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201762701",
            "telephone_number": "703-443-2120",
            "fax_number": "703-443-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MEHUL",
        "middle_name": "JITENDRA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "VA",
            "license": "0103300893",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "VA",
            "license": "0103300893",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "VA",
            "license": "0103300893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BC/BS",
            "identifier": "J4630001",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1841465291",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "350392",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3854800",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7980784",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saeedeh Jawad Seyyed, FNP-BC
• Erica Shackelford, MSN, FNP
• Guadalupe C. Shafer, FNP
• Aabha A Shah, MD
• Deepa Malpani Shah, MD
• Shahla Ranjbar, DMD, PLC
• Shahriar Shahzeidi, MD
• Ashlee Shain
• Adel Shakerian, PHARMD
• Erin Shanahan, OT

• Foot Surgery Podiatrist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Foot Surgery Podiatrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2012; 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.