Active NPI
Nimesh S Shah, MD
- Internal Medicine Physician
- Rockville, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- D0064415
- Practice address
- 9901 Medical Center Dr
Rockville, MD 20850-3357 - Phone
- (301) 279-6021
- Fax
- (240) 453-5702
- NPI assigned
- May 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | D64415 | MD | |
| Pulmonary Disease Physician | 207RP1001X | D64415 | MD | |
| Internal Medicine Physician | 207R00000X | D0064415 | MD | Primary |
Addresses
Primary practice location
9901 Medical Center Dr
Rockville, MD 20850-3357
Mailing address
1201 Seven Locks Rd
Suite 200
Rockville, MD 20854-2931
Phone (301) 652-5771
Other practice location 1
12502 Willowbrook Rd
Cumberland, MD 21502-6491
Phone (240) 964-8750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Emory University School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
110 Irving St NW
Washington, DC 20010-3017
Phone (202) 877-7000
201 E University Pkwy
Baltimore, MD 21218-2829
Phone (410) 554-2000
Hospital & facility affiliations
- Medstar Union Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.34 of 100
- Quality
- 67.9
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0064415 | MD | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group II LLC | Current | Accepting new patients | |
| Upmc Western Maryland Corporation | Internal Medicine | Current | Accepting new patients |
| Upmc Western Maryland Corporation | Current | Accepting new patients | |
| Inpatient Specialists PA | Internal Medicine | Past | Accepting new patients |
| Medical Care of Boston Management Corporation | Internal Medicine | Past | Accepting new patients |
| Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc | Internal Medicine | Past | Accepting new patients |
| Washington Metropolitan Practice Plan | Past | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Internal Medicine | Past | Accepting new patients |
Locations
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
12502 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-8724
12500 Willowbrook Rd
Cumberland, MD 21502
Phone (240) 964-1255
12502 Willowbrook Rd
Ste 280
Cumberland, MD 21502
Phone (240) 964-8750
1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440
1313 National Hwy
Lavale, MD 21502
Phone (240) 362-0288
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1184769952
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
-
- Mental Illness Community Based Residential Treatment Facility
- Cumberland, MD
- NPI 1174141592
-
- Internal Medicine Physician
- Rockville, MD
- NPI 1700858586
-
- Internal Medicine Physician
- Cumberland, MD
- NPI 1134844764
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
- Internal Medicine Physician
- Needham, MA
- NPI 1437196359
-
- Acute Care Nurse Practitioner
- Washington, DC
- NPI 1013989896
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1487741427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552435200000",
"number": "1740227990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 SEVEN LOCKS RD",
"address_2": "SUITE 200",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208542931",
"telephone_number": "301-652-5771",
"fax_number": "301-652-6332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9901 MEDICAL CENTER DR",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208503357",
"telephone_number": "301-279-6021",
"fax_number": "240-453-5702"
}
],
"practiceLocations": [
{
"address_1": "12502 Willowbrook Rd",
"address_purpose": "LOCATION",
"city": "Cumberland",
"state": "MD",
"postal_code": "215026491",
"country_code": "US",
"telephone_number": "240-964-8750",
"fax_number": "240-964-8699",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "NIMESH",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-31",
"last_updated": "2019-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "MD",
"license": "D64415",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D64415",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MD",
"license": "D0064415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.