NPIMap

Organization Active NPI

Shah Dermatology LLC

  • Dermatology Physician
  • Charlotte Hall, MD
National Provider Identifier
1760873194
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
D0059577 Issued in MD
Legal business name
SHAH DERMATOLOGY LLC
Practice address
37767 Market Drive
2ND Floor
Charlotte Hall, MD 20622-3188
Phone
(301) 884-0278
Fax
(301) 884-8663
NPI assigned
Feb 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Authorized official

Name
Dr. Arpana Shah, MDNPI 1134148075
Title
MD
Phone
(301) 884-0278

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X D0059577 MD Primary

Addresses

Primary practice location

37767 Market Drive
2ND Floor
Charlotte Hall, MD 20622-3188

Mailing address

PO Box 640
Hollywood, MD 20636-0640
Phone (301) 373-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150401000305 MD Part B Supplier - Clinic/Group Practice 4587981550 Receives reassigned benefits from 6 practitioners
Practice locations: California, MD; Charlotte Hall, MD; Waldorf, MD

National Provider Directory

National Provider Directory
Tax ID family
Shah Dermatology LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

7232 W Sand Lake Rd
Ste 200
Orlando, FL 32819
Phone (407) 337-1270

22590 Shady Ct
#3
California, MD 20619

22590 Shady Ct
Fl 3
California, MD 20619
Phone (301) 994-8010

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1760873194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206360640",
            "telephone_number": "301-373-7900",
            "fax_number": "301-373-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37767 MARKET DRIVE",
            "address_2": "2ND FLOOR",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206223188",
            "telephone_number": "301-884-0278",
            "fax_number": "301-884-8663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAH DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ARPANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-884-0278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MD",
            "license": "D0059577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Hall, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.