Active NPI
Anita R. Shah, MD
- Pediatrics Physician
- Forney, TX
National Provider Identifier
1780909135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P4690
- Practice address
- 101 N FM 548, Suite 100
Forney, TX 75126 - Phone
- (972) 646-3346
- Fax
- (972) 564-2079
- NPI assigned
- Mar 29, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | P4690 | TX | Primary |
Addresses
Primary practice location
101 N FM 548, Suite 100
Forney, TX 75126
Mailing address
101 N FM 548, Suite 100
Forney, TX 75126
Phone (972) 646-3346
Other names 1
- Anita N. Patel
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P4690 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark G Gilchrist, MD, LLC | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- anita.shah@mgg.eclinicaldirectplus.com
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.
-
- Pediatrics Physician
- Chelmsford, MA
- NPI 1679841555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526860800000",
"number": "1780909135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 N FM 548, SUITE 100",
"city": "FORNEY",
"state": "TX",
"postal_code": "75126",
"telephone_number": "972-646-3346",
"fax_number": "972-564-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 N FM 548, SUITE 100",
"city": "FORNEY",
"state": "TX",
"postal_code": "75126",
"telephone_number": "972-646-3346",
"fax_number": "972-564-2079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "ANITA",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2018-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "P4690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANITA",
"last_name": "PATEL",
"middle_name": "N.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.