Individual provider Active NPI

Vipul M Shah, M.D.

  • Critical Care Medicine (Anesthesiology) Physician
  • Birmingham, AL
National Provider Identifier
1790948545
Registry record updated Aug 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
37300 Issued in AL
Practice address
2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209
Phone
(205) 877-2872
Fax
(205) 877-2875
NPI assigned
Jul 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37300 AL
Critical Care Medicine (Anesthesiology) Physician 207LC0200X MD60279160 WA
Internal Medicine Physician 207R00000X MT193301 PA
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 37300 AL Primary

Addresses

Primary practice location

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209

Mailing address

2010 Brookwood Medical Ctr Dr
Birmingham, AL 35209-6804
Phone (205) 877-2872

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
I20180925004177 AL Practitioner - Critical Care (Intensivists) 7416199260 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37300ALMDCritical Care Medicine (Anesthesiology) Physician
MD60279160WAMDCritical Care Medicine (Anesthesiology) Physician
MT193301PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cogent Healthcare of Decatur, LLC Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
Baptist Health Centers, LLC Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Baptist Health Centers, LLC Current Accepting new patients
Baptist Health Centers LLC CurrentSince Jul 1, 2019 Accepting new patients

Locations

701 Princeton Ave SW
Ste Crs
Birmingham, AL 35211

701 Princeton Ave SW
Birmingham, AL 35211
Phone (205) 279-2860

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

2010 Medical Center Dr
Homewood, AL 35209
Phone (205) 877-1930

3400 Highway 78 E
Jasper, AL 35501
Phone (205) 387-4000

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1790948545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 BROOKWOOD MEDICAL CTR DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096804",
            "telephone_number": "205-877-2872",
            "fax_number": "205-877-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 BROOKWOOD MEDICAL CTR DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-877-2872",
            "fax_number": "205-877-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIPUL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "37300",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "WA",
            "license": "MD60279160",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT193301",
            "primary": false
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "AL",
            "license": "37300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.