Individual provider Active NPI

Kunal M Shah

  • Cardiovascular Disease Physician
  • Zanesville, OH
National Provider Identifier
1730504150
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35.132462 Issued in OH
Practice address
955 Bethesda Dr FL 1
Zanesville, OH 43701-1840
Phone
(740) 454-0804
Fax
(740) 454-7171
NPI assigned
Feb 21, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 68695 WI
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35.132462 OH Primary

Addresses

Primary practice location

955 Bethesda Dr FL 1
Zanesville, OH 43701-1840

Mailing address

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 450-6175

Other practice location 1

48439 Genesis Dr Ste F
Coshocton, OH 43812-3205
Phone (740) 722-9555

Other practice location 2

61353 Southgate Rd Ste 3
Cambridge, OH 43725-6607
Phone (740) 432-1034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, OH2 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
I20180425000021 WI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8123381209 Reassigns benefits to 5 organizations
I20181009000438 OH Practitioner - Cardiovascular Disease (Cardiology) 8123381209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Medical Group, LLCGroup PAC ID 7719040385, 265 clinicians

Practice addresses (Care Compare)

955 Bethesda Dr
FL 1
Zanesville, OH 43701-1873
Phone (740) 454-0804

Hospital & facility affiliations

  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Memorial Hospital, Inc. CurrentSince Apr 24, 2018 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince May 1, 2018 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Single Specialty Current Accepting new patients
Memorial Hospital of Boscobel Single Specialty CurrentSince Apr 24, 2018 Accepting new patients
St. Joseph'S Health Services, Inc. Single Specialty CurrentSince May 17, 2018 Accepting new patients
Memorial Hospital of Boscobel CurrentSince Apr 24, 2018 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Apr 16, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Single Specialty Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince May 1, 2018 Accepting new patients
Genesis Medical Group LLC Single Specialty CurrentSince Jan 11, 2021 Accepting new patients
Tri-County Memorial Hospital, Inc. Single Specialty Current Accepting new patients
Tri-County Memorial Hospital, Inc. CurrentSince Apr 24, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Single Specialty CurrentSince Apr 16, 2018 Accepting new patients
Ashtabula County Medical Center Single Specialty CurrentSince Aug 15, 2018 Accepting new patients
Genesis Medical Group, LLC CurrentSince Jan 11, 2021 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
St. Joseph'S Health Services, Inc. Single Specialty CurrentSince May 17, 2018 Accepting new patients

Locations

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

61353 Southgate Rd
Ste 3
Cambridge, OH 43725
Phone (740) 450-3296

48439 Genesis Dr
Ste F
Coshocton, OH 43812
Phone (740) 623-4481

301 Mike Clouse Dr
#2A
Somerset, OH 43783
Phone (740) 836-0035

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

945 Bethesda Dr
Ste 200
Zanesville, OH 43701
Phone (740) 454-4788

955 Bethesda Dr
Fl 1
Zanesville, OH 43701
Phone (740) 454-0804

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

205 Parker St
Boscobel, WI 53805
Phone (608) 375-4112

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712

Interoperability endpoints

  • Direct secure messaging: kshah1239384@direct.ccf.org
  • Direct secure messaging: kshah290122@direct.gundersenhealth.org

Organizations & group practices 17

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 17

Hospital & facility affiliations 5

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": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1730504150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2951 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011406",
            "telephone_number": "740-450-6175",
            "fax_number": "740-455-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 BETHESDA DR FL 1",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011840",
            "telephone_number": "740-454-0804",
            "fax_number": "740-454-7171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "48439 Genesis Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "438123205",
            "country_code": "US",
            "telephone_number": "740-722-9555",
            "fax_number": "740-455-2246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61353 Southgate Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437256607",
            "country_code": "US",
            "telephone_number": "740-432-1034",
            "fax_number": "740-421-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KUNAL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-21",
        "last_updated": "2024-04-02",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WI",
            "license": "68695",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35.132462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.