Ami Amar Shah Vira, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q3461 Issued in TX

Practice address

210 N Lakeline Blvd Ste 100
Cedar Park, TX 78613-2088

Phone

(512) 553-9545

NPI assigned

Jun 15, 2009

Last updated

Apr 24, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Ami Ajit Shah Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Ophthalmology

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oliver Street 5.01(a) IncGroup PAC ID 0042464125, 169 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Oliver Street 5.01(a) Inc.

  dba U.S. Dermatology Partners

  • Dermatology Physician
  • Dallas, TX
  • NPI 1457695413
  Medicare reassignment Care Compare group NPD
• Ami Shah Vira MD PLLC

  dba Texas Neuro Eye and Plastic Surgery

  • Ophthalmology Physician
  • Round Rock, TX
  • NPI 1467147793
  Medicare reassignment NPD

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1801023049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10012 LAVON BND",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787174169",
            "telephone_number": "512-553-9545",
            "fax_number": "484-968-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N LAKELINE BLVD STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132088",
            "telephone_number": "512-553-9545"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9707 Anderson Mill Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787500017",
            "country_code": "US",
            "telephone_number": "512-545-9545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10012 Lavon Bnd",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787174169",
            "country_code": "US",
            "telephone_number": "512-553-9545",
            "fax_number": "484-968-8082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Park Bend",
            "address_2": "Building 1, Suite 200",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "78758",
            "country_code": "US",
            "telephone_number": "512-553-9545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH VIRA",
        "first_name": "AMI",
        "middle_name": "AMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "Q3461",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q3461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "83050379",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMI",
            "last_name": "SHAH",
            "middle_name": "AJIT",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Faye Sennet, APN-CNM, PMHNP-BC
• Yessica Karina Sepulveda, OTR
• Seven Oaks Family Medicine, PA
• Seven Oaks Medical Centers Inc.
• Callie Seymour
• Avni Shah
• Leena Shah, DMD
• Minal Shah
• Pina Shah
• Stuti Shah, PT

• Ophthalmology Physician in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.