Individual provider Active NPI

Samirkumar Shah, M.D.

  • Legal Medicine
  • Kittanning, PA
National Provider Identifier
1790753739
Registry record updated Dec 6, 2010
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Jul 20, 2022.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
MD050641L Issued in PA
Practice address
401 Pine Hill Rd
Kittanning, PA 16201-4425
Phone
(724) 545-3417
Fax
(724) 543-3744
NPI assigned
Mar 8, 2006
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X MD050641L PA Primary

Addresses

Primary practice location

401 Pine Hill Rd
Kittanning, PA 16201-4425

Mailing address

401 Pine Hill Rd
Kittanning, PA 16201-4425
Phone (724) 545-3417

Other names 1

  • Dr. Samirkumar Shah Other name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lowry Radiology Associates, Inc PastSince Mar 1, 2004 Accepting new patients
Core Chiropractic Center, LLC PastSince Sep 20, 2016 Accepting new patients
Bcmi Inc Past Accepting new patients
Samir Shah Legal Medicine PastSince Jan 1, 1990 Accepting new patients
Med Health Service Past Accepting new patients
Samirkumar J Shah Physician PC PastSince Sep 30, 2009 Accepting new patients
Samir Shah Ecpwv LLC PastSince Sep 1, 2010 Accepting new patients

Organizations & group practices 7

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1790753739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 PINE HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162014425",
            "telephone_number": "724-545-3417",
            "fax_number": "724-543-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 PINE HILL RD",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162014425",
            "telephone_number": "724-545-3417",
            "fax_number": "724-543-3744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIRKUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "PA",
            "license": "MD050641L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMIRKUMAR",
            "last_name": "SHAH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.