Dipen R Shah, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

200500255 Issued in NC

Practice address

431 Keisler Dr Ste 100
Cary, NC 27518-7064

Phone

(919) 468-6820

Fax

(919) 468-6484

NPI assigned

May 16, 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 2

Medicare fee-for-service enrollment

Enrolled in NC

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, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wakemed, Cary Hospital Hospital, Cary, NC, CCN 340173

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dipen.shah@shahfp.eclinicaldirectplus.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.

• Shah and Associates Family Practice

  • Family Medicine Physician
  • Cary, NC
  • NPI 1093737173
  Medicare reassignment NPD Authorized official
• Regional Health Services LLC

  • Hospitalist Physician
  • Shelby, NC
  • NPI 1124110689
  NPD (past)
• Schmidt and Catchings

  • Family Medicine Physician
  • Cary, NC
  • NPI 1912231317
  NPD (past)
• Schmidt and Catchings Family Practice

  • Non-Pharmacy Dispensing Site
  • Cary, NC
  • NPI 1356575047
  NPD (past)

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

• Wakemed

  • General Acute Care Hospital
  • Cary, NC
  • NPI 1114993086
  Care Compare affiliation

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1750333993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187064",
            "telephone_number": "919-468-6820",
            "fax_number": "919-468-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 KEISLER DR STE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187064",
            "telephone_number": "919-468-6820",
            "fax_number": "919-468-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "DIPEN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200500255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902201",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14063",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth N Shaffer, MD
• Jolie Shafik, BCBA
• Shah and Associates Family Practice
• Bhavna Shah, DDS
• Dhirenkumar Navnitlal Shah, MD
• Jasmine Shah, OTR/L
• Jiger Shah, D.D.S
• Jyoti Shah, PT
• Kajal Rajendra Shah
• Krishna B Shah, PHYSICAL THERAPY

• Family Medicine Physician in Cary, NC
• Providers in Cary, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.