Individual provider Active NPI

Purvi Shah, M.D.

  • Allergy & Immunology Physician
  • Danbury, CT
National Provider Identifier
1760692941
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
045246 Issued in CT
Practice address
107 Newtown Rd
1B
Danbury, CT 06810-4146
Phone
(203) 748-7433
Fax
(203) 790-5324
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 045246 CT
Allergy & Immunology Physician 207K00000X 045246 CT Primary

Addresses

Primary practice location

107 Newtown Rd
1B
Danbury, CT 06810-4146

Mailing address

107 Newtown Rd
1B
Danbury, CT 06810-4146
Phone (203) 748-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20070907000027 CT Practitioner - Allergy/Immunology 0941393920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Ohio State University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Specialty Care, P.C.Group PAC ID 2567353121, 24 clinicians

Practice addresses (Care Compare)

107 Newtown Rd
Suite 2a
Danbury, CT 06810-4151
Phone (203) 830-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
045246CTMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Specialty Care, P.C. Allergy & Immunology CurrentSince Jan 1, 2009 Accepting new patients
Advanced Audiology & Hearing Aid Services PastSince Jan 1, 2009 Accepting new patients
Allergy & Asthma Assoc., P.C. Specialist Past Accepting new patients

Locations

107 Newtown Rd
Danbury, CT 06810
Phone (203) 748-7433

107 Newtown Rd
Ste 2A
Danbury, CT 06810
Phone (203) 830-4700

107 Newtown Rd
Ste 1B
Danbury, CT 06810
Phone (203) 748-7433

488 Main Ave
Norwalk, CT 06851
Phone (203) 838-0442

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: purvi.shahmd.p1@direct.asc.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1760692941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "address_2": "1B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-748-7433",
            "fax_number": "203-790-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 NEWTOWN RD",
            "address_2": "1B",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104146",
            "telephone_number": "203-748-7433",
            "fax_number": "203-790-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PURVI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "045246",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CT",
            "license": "045246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.