Shah & Associates LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SHAH & ASSOCIATES LLC

Practice address

130 Hospital Rd Ste 300
Prince Frederick, MD 20678-4057

Phone

(410) 535-4333

Fax

(410) 535-3260

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Dipak Shah, MDNPI 1598792731

Title

Owner/President

Phone

(301) 475-5577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Shah & Associates LLC

  • Clinical Neuropsychologist
  • Leonardtown, MD
  • NPI 1669686432

  O20080310000267

  Same enrollment

Tax ID family

Shah Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shah & Associates LLC

  • Clinical Neuropsychologist
  • Leonardtown, MD
  • NPI 1669686432
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dipak Shah, MD

  • Psychiatry Physician
  • Leonardtown, MD
  • NPI 1598792731
  NPD Authorized official
• Justine S Ellerman, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Leonard, MD
  • NPI 1043505324
  NPD

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1750164778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206500603",
            "telephone_number": "301-475-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 HOSPITAL RD STE 300",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784057",
            "telephone_number": "410-535-4333",
            "fax_number": "410-535-3260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "DIPAK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "301-475-5577",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "422844800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• SCS, LLC
• Tracy R Sears
• Rodne'T Sewell
• Susan P Sferra, MS LCMFT
• Shafquat Meraj, M.D., P.a.
• Shah Associates MD LLC
• Atul Shah
• Dhiren Shah
• Mahesh Shah
• Meena V Shah, MD

• Psychiatry Physician in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Psychiatry Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.