Individual provider Active NPI

Nemil Ashvin Shah, M.D.

  • General Practice Physician
  • Madison, AL
National Provider Identifier
1780941740
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
33227 Issued in AL
Practice address
101 Ivory PL
Madison, AL 35758-2349
Phone
(256) 325-0236
NPI assigned
Apr 16, 2012
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 33227 AL Primary

Addresses

Primary practice location

101 Ivory PL
Madison, AL 35758-2349

Mailing address

101 Ivory PL
Madison, AL 35758-2349
Phone (256) 325-0236

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20141001001275 AL Practitioner - Internal Medicine 6305091737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower2, LLCGroup PAC ID 6103185145, 13 clinicians

Practice addresses (Care Compare)

101 Ivory PL
Madison, AL 35758-2349
Phone (256) 325-0236

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33227ALMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QC Wellness, LLC Current Accepting new patients
Empower2, LLC. General Practice CurrentSince Nov 15, 2017 Accepting new patients
Blossomwood Medical PC PastSince Dec 19, 2017 Accepting new patients
Decatur Morgan Neurology Past Accepting new patients
Quickcare RX LLC Past Accepting new patients

Locations

101 Ivory Pl
Madison, AL 35758
Phone (256) 325-0236

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1780941740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 IVORY PL",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582349",
            "telephone_number": "256-325-0236",
            "fax_number": "256-325-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 IVORY PL",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582349",
            "telephone_number": "256-325-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEMIL",
        "middle_name": "ASHVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AL",
            "license": "33227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.