NPIMap

Individual provider Active NPI

Sajjad H Shah, M.DM

  • Pulmonary Disease Physician
  • Wyomissing, PA
National Provider Identifier
1770502155
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
MD067975L Issued in PA
Practice address
2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone
(610) 929-5864
Fax
(610) 929-1528
NPI assigned
Jul 18, 2006
Last updated
Mar 25, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD067975L PA
Pulmonary Disease Physician 207RP1001X MD067975L PA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X MD067975L PA

Addresses

Primary practice location

2608 Keiser Blvd
Wyomissing, PA 19610-3333

Mailing address

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 929-5864

Other practice location 1

1011 W Baltimore Pike
West Grove, PA 19390-9446
Phone (610) 685-5864

Other practice location 2

13 Armand Hammer Blvd
Ste 300
Pottstown, PA 19464-5067
Phone (610) 685-5864

Other identifiers 1

IdentifierTypeStateIssuer
0018237920008MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000093 PA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 1052225810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Respiratory Specialists LTDGroup PAC ID 6204812076, 18 clinicians

Practice addresses (Care Compare)

2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.57 of 100Reported as group
Quality
58.95
Promoting interoperability
60
Improvement activities
40
Cost
79.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD067975LPAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Respiratory Specialists LTD Critical Care Medicine CurrentSince Jul 1, 2005 Accepting new patients
Pulmonarydiseasesltd Pulmonary Disease Past Accepting new patients
Reading Hospital Past Accepting new patients

Locations

13 Armand Hammer Blvd
Ste 300
Pottstown, PA 19464
Phone (610) 327-7673

1600 E High St
Pottstown, PA 19464
Phone (610) 327-7485

1011 W Baltimore Pike
West Grove, PA 19390
Phone (215) 869-1074

420 S 5th Ave
West Reading, PA 19611
Phone (484) 628-3637

2608 Keiser Blvd
Wyomissing, PA 19610
Phone (610) 929-5864

Interoperability endpoints

  • Direct secure messaging: sshah@respiratoryspecialists.medentdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1770502155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-929-5864",
            "fax_number": "610-929-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KEISER BLVD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103333",
            "telephone_number": "610-929-5864",
            "fax_number": "610-929-1528"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 W Baltimore Pike",
            "address_purpose": "LOCATION",
            "city": "West Grove",
            "state": "PA",
            "postal_code": "193909446",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Armand Hammer Blvd",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Pottstown",
            "state": "PA",
            "postal_code": "194645067",
            "country_code": "US",
            "telephone_number": "610-685-5864",
            "fax_number": "610-929-1528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAJJAD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.DM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PA",
            "license": "MD067975L",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PA",
            "license": "MD067975L",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "PA",
            "license": "MD067975L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018237920008",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.