Individual provider Active NPI

Mehvish Shah, D.O.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1770840795
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5437 Issued in OK
Practice address
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone
(918) 582-1980
NPI assigned
Apr 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S8491 TX
Family Medicine Physician 207Q00000X 5437 OK Primary

Addresses

Primary practice location

2345 Southwest Blvd
Tulsa, OK 74107-2705

Mailing address

1705 E 19TH St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140624001825 OK Practitioner - Family Practice 3870717341 Reassigns benefits to 3 organizations
I20140701002307 TX Practitioner - Family Practice 3870717341 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipa ER Group PLLCGroup PAC ID 9133655616, 27 clinicians
Inpatient Physician Associates PLLCGroup PAC ID 1759379092, 30 clinicians

Practice addresses (Care Compare)

17101 Dallas Pkwy
Addison, TX 75001-7103
Phone (214) 696-8033

6901 Snider PLZ
Suite 130
Dallas, TX 75205-5649
Phone (972) 381-6690

Hospital & facility affiliations

  • Methodist McKinney Hospital Hospital, McKinney, TX, CCN 670069
  • Methodist Hospital for Surgery Hospital, Addison, TX, CCN 670073

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as virtual group
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5437OKMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Texas Emergency Physicians PLLC CurrentSince Sep 13, 2021 Accepting new patients
Cogent Healthcare of Texas, PA Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Sep 7, 2015 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Nov 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Apr 1, 2022 Accepting new patients
Legacy Urgent Care, PA CurrentSince Apr 8, 2024 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Feb 10, 2023 Accepting new patients
Concord Medical Group PLLC CurrentSince Feb 10, 2023 Accepting new patients
Doucette Branch Inpatient Services PLLC CurrentSince Jul 1, 2023 Accepting new patients
St. John Physicians, Inc CurrentSince Sep 7, 2015 Accepting new patients
Ipa ER Group PLLC Family Medicine CurrentSince Nov 3, 2024 Accepting new patients
Midwest Hospital Medicine Associates PC CurrentSince Jul 1, 2015 Accepting new patients

Locations

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
#1000
Tulsa, OK 74104

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

1201 Health Center Pkwy
Yukon, OK 73099
Phone (405) 717-6800

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

330 S Denton Tap Rd
Coppell, TX 75019
Phone (469) 312-7777

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

9205 Legacy Dr
Frisco, TX 75033
Phone (972) 625-6020

16151 Eldorado Pkwy
Frisco, TX 75035
Phone (972) 731-5151

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

2810 S Hardin Blvd
Ste 100
McKinney, TX 75072
Phone (972) 548-7277

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

8950 N Tarrant Pkwy
North Richlnd Hls, TX 76182
Phone (817) 281-7277

3601 N Calais St
Sherman, TX 75090
Phone (903) 813-3700

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

1100 W Bluff St
Woodville, TX 75979
Phone (409) 283-6400

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1770840795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E 19TH ST",
            "address_2": "STE 302",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74104",
            "telephone_number": "918-748-7585",
            "fax_number": "918-293-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 SOUTHWEST BLVD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741072705",
            "telephone_number": "918-582-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MEHVISH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S8491",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "5437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.