Sanjaykumar B Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

11384R Issued in LA

Practice address

2300 Hospital Dr
Suite 200
Bossier City, LA 71111-2394

Phone

(318) 212-7830

Fax

(318) 212-7835

NPI assigned

Jun 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Family Practice

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

WK Urgent Care Center-Pierremont 39 clinicians

WK Louisiana Family Practice 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vitalcaring Group Home health agency, Bossier City, LA, CCN 197787
• Elara Caring Home health agency, Bossier City, LA, CCN 197226
• Allegiance Home Health of Northwest la Home health agency, Minden, LA, CCN 197211
• Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
• Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
• Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
• Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sshah@direct.wkhs.com

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.

• WK Louisiana Family Practice

  • Family Medicine Physician
  • Bossier City, LA
  • NPI 1164464889

  Family Medicine, LA

  Medicare reassignment Care Compare group NPD
• WK Urgent Care Center-Pierremont

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1639115132

  LA

  Medicare reassignment Care Compare group
• Nes Louisiana Inc

  • Emergency Medicine Physician
  • Natchitoches, LA
  • NPI 1669922431

  LA

  Medicare reassignment NPD
• Springhill Medical Services, Inc.

  • Family Medicine Physician
  • Springhill, LA
  • NPI 1124092481

  Family Medicine, LA

  Medicare reassignment NPD
• Nes Louisiana Inc

  • Emergency Medicine Physician
  • Springhill, LA
  • NPI 1649867789
  NPD
• Springhill Medical Services, Inc.

  • Rural Health Clinic/Center
  • Bradley, AR
  • NPI 1407960271
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advantage Home Health Care, Inc.

  • Home Health Agency
  • Minden, LA
  • NPI 1487625455
  Care Compare affiliation
• Christus Health Northern Louisiana

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1417950106

  Hospital

  Care Compare affiliation
• Health Care Visions III, Inc.

  • Home Health Agency
  • Bossier City, LA
  • NPI 1053485961
  Care Compare affiliation
• Louisiana Homecare of Northwest Louisiana, LLC

  • Home Health Agency
  • Mansfield, LA
  • NPI 1285681171
  Care Compare affiliation
• Primestar Home Health of Nwla Inc

  • Home Health Agency
  • Minden, LA
  • NPI 1952350456
  Care Compare affiliation
• Red River Home Health Care, Inc.

  • Home Health Agency
  • Bossier City, LA
  • NPI 1720164957
  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Bossier City, LA
  • NPI 1003968579

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1124170691

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1275685539

  Hospital

  Care Compare affiliation
• Willis Knighton Medical Center, Inc.

  • General Acute Care Hospital
  • Shreveport, LA
  • NPI 1568461572

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1740226505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112394",
            "telephone_number": "318-212-7830",
            "fax_number": "318-212-7835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112394",
            "telephone_number": "318-212-7830",
            "fax_number": "318-212-7835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANJAYKUMAR",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "11384R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1661104",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Janean Sharp, MCD
• Justin Levi Sharp, DPT
• Catherine Sharpe
• Sharptime PT
• Stormie Shaver

• All providers in Bossier City, LA
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.