Active NPI
Narendra K Shah, MD
- Anesthesiology Physician
- Burlington, MA
National Provider Identifier
1780747832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 34550
- Practice address
- 101 Cambridge St Ste 100
Burlington, MA 01803-3767 - Phone
- (781) 718-7716
- Fax
- (781) 365-0302
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 34550 | MA | Primary |
Addresses
Primary practice location
101 Cambridge St Ste 100
Burlington, MA 01803-3767
Mailing address
6 Stonehill Cir
Burlington, MA 01803-1425
Phone (781) 710-4701
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019094 | Medicaid | MA | |
| 123528 | Other | MA | US HEALTHCARE |
| 700449 | Other | MA | TUFTS AND SECURE HORIZONS |
| MO8681 | Other | MA | HMO BLUE |
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 |
|---|---|---|---|
| Community Healthcare Alliance, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Physician
- Woburn, MA
- NPI 1376040899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367539200000",
"number": "1780747832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 STONEHILL CIR",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018031425",
"telephone_number": "781-710-4701",
"fax_number": "781-365-0302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CAMBRIDGE ST STE 100",
"city": "BURLINGTON",
"state": "MA",
"postal_code": "018033767",
"telephone_number": "781-718-7716",
"fax_number": "781-365-0302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NARENDRA",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2013-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "34550",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2019094",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "123528",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS AND SECURE HORIZONS",
"identifier": "700449",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMO BLUE",
"identifier": "MO8681",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burlington, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.