Individual provider Active NPI

Muniza Shah, M.D.

  • Psychiatry Physician
  • Bethlehem, PA
National Provider Identifier
1811933666
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD437682 Issued in PA
Practice address
4379 Easton Ave Ste 110
Bethlehem, PA 18020-1483
Phone
(260) 564-1205
NPI assigned
Jun 21, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 01056023A IN
Child & Adolescent Psychiatry Physician 2084P0804X MD437682 PA
Psychiatry Physician 2084P0800X MD437682 PA Primary

Addresses

Primary practice location

4379 Easton Ave Ste 110
Bethlehem, PA 18020-1483

Mailing address

4379 Easton Ave Ste 110
Bethlehem, PA 18020-1483
Phone (260) 564-1205

Other practice location 1

5300 Kidspeace Dr
Orefield, PA 18069-2044
Phone (610) 799-8800 ext. 8486

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090918000388 PA Practitioner - Psychiatry 5698867265 Reassigns benefits to 3 organizations
I20230614000471 FL Practitioner - Psychiatry 5698867265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Family Practice Associates, LLCGroup PAC ID 8820003411, 50 clinicians

Practice addresses (Care Compare)

3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 399-6111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4735SDMDAmbulatory Care Pharmacist
01056023AINMDPsychiatry Physician
MD437682PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holcomb Associates, Inc. CurrentSince Dec 4, 2024 Accepting new patients
Xaler LLC Psychiatry Current Accepting new patients
Neighborhood Health Centers of the Lehigh Valley CurrentSince Jul 24, 2017 Accepting new patients
Holcomb Associates, Inc CurrentSince Dec 4, 2024 Accepting new patients
St. Luke's Physician Group, Inc. Psychiatry CurrentSince Sep 15, 2009 Accepting new patients
Memorial Family Practice Associates, LLC CurrentSince May 9, 2023 Accepting new patients
Neighborhood Health Centers of the Lehigh Valley Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Sep 15, 2009 Accepting new patients
Mood & Memory Associates Psychiatry Past Accepting new patients

Locations

1731 University Blvd S
Jacksonville, FL 32216
Phone (904) 725-0200

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1249 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 435-4151

218 N 2nd St
Allentown, PA 18102
Phone (484) 640-1200

635 E Broad St
Bethlehem, PA 18018
Phone (610) 820-7605

929 Northampton St
Easton, PA 18042
Phone (610) 330-9862

467 Creamery Way
Exton, PA 19341
Phone (484) 713-1101

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

920 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 388-7400

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: muniza.shah@hca5.eclinicaldirectplus.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1811933666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 EASTON AVE STE 110",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201483",
            "telephone_number": "260-564-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 EASTON AVE STE 110",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180201483",
            "telephone_number": "260-564-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 Kidspeace Dr",
            "address_purpose": "LOCATION",
            "city": "Orefield",
            "state": "PA",
            "postal_code": "180692044",
            "country_code": "US",
            "telephone_number": "610-799-8800 x8486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MUNIZA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IN",
            "license": "01056023A",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD437682",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD437682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.