Active NPI
Ramesh M. Shah, M.D.
- Pulmonary Disease Physician
- Berwick, PA
National Provider Identifier
1760440853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD024069E
- Practice address
- 695 E 16TH St
Suite a
Berwick, PA 18603-2320 - Phone
- (570) 759-5005
- NPI assigned
- May 1, 2006
- Last updated
- Jun 8, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD024069E | PA | Primary |
Addresses
Primary practice location
695 E 16TH St
Suite a
Berwick, PA 18603-2320
Mailing address
354 Stanley Dr
Kingston, PA 18704-5610
Phone (570) 288-3903
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015204000001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berwick Clinic Company LLC | Past | Accepting new patients | |
| Mercy Tyler Hospital | Past | Accepting new patients | |
| Geisinger Clinic | Past | Accepting new patients | |
| Mercy Tyler Health Systems | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/1704/brand/1/csg/81/fhir/r4
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339113600000",
"number": "1760440853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 STANLEY DR",
"city": "KINGSTON",
"state": "PA",
"postal_code": "187045610",
"telephone_number": "570-288-3903",
"fax_number": "570-288-3903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 E 16TH ST",
"address_2": "SUITE A",
"city": "BERWICK",
"state": "PA",
"postal_code": "186032320",
"telephone_number": "570-759-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "RAMESH",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD024069E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1015204000001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.