Preeya Tushar Shah, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

2024-02348 Issued in NC

Practice address

1301 Castlepointe Dr
Fuquay Varina, NC 27526-4351

Phone

(984) 849-4328

Fax

(919) 763-1380

NPI assigned

Mar 31, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Dermatology

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Dermatology Center PAGroup PAC ID 8123006947, 31 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.77 of 100Reported as group

Quality

82.92

Promoting interoperability

100

Improvement activities

40

Cost

92.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: preeya.shah.1@20955.direct.athenahealth.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.

• Central Dermatology Center, PA

  • Dermatology Physician
  • Chapel Hill, NC
  • NPI 1568424299
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1760010094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 NELSON HWY STE 100",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178914",
            "telephone_number": "919-401-1994",
            "fax_number": "919-401-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 CASTLEPOINTE DR",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275264351",
            "telephone_number": "984-849-4328",
            "fax_number": "919-763-1380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Preston Executive Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275138447",
            "country_code": "US",
            "telephone_number": "919-653-1344",
            "fax_number": "919-463-0920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Cedarhurst Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276095588",
            "country_code": "US",
            "telephone_number": "919-782-2735",
            "fax_number": "919-782-2839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PREEYA",
        "middle_name": "TUSHAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2024-02348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly Marie Short, FNP

• Dermatology Physician in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.