Muniza Shah, M.D.

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

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

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

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)

Hospital & facility affiliations

• HCA Florida Memorial Hospital Hospital, Jacksonville, FL, CCN 100179
• HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• Memorial Family Practice Associates, LLC

  • Family Medicine Physician
  • Jacksonville, FL
  • NPI 1598869844
  Medicare reassignment Care Compare group NPD
• Holcomb Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Exton, PA
  • NPI 1083670590
  Medicare reassignment NPD
• Neighborhood Health Centers of the Lehigh Valley

  • Federally Qualified Health Center (FQHC)
  • Allentown, PA
  • NPI 1619106382
  Medicare reassignment NPD
• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment NPD
• Holcomb Associates, Inc

  • Community/Behavioral Health Agency
  • Bethlehem, PA
  • NPI 1346061595
  NPD
• Neighborhood Health Centers of the Lehigh Valley

  • Federally Qualified Health Center (FQHC)
  • Bethlehem, PA
  • NPI 1326418245
  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke'S Physician Group, Inc.

  • Psychiatry Physician
  • Bowmanstown, PA
  • NPI 1376107235
  NPD
• Xaler LLC

  • Child & Adolescent Psychiatry Physician
  • Bethlehem, PA
  • NPI 1205452760
  NPD
• Mood & Memory Associates

  • Psychiatry Physician
  • Allentown, PA
  • NPI 1659337012
  NPD (past)

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

• Memorial Healthcare Group Inc

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1447206438
  Care Compare affiliation
• Orange Park Medical Center, Inc.

  • General Acute Care Hospital
  • Orange Park, FL
  • NPI 1689611501
  Care Compare affiliation

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "000000244420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01056023B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL",
            "identifier": "01056023A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200409990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "418373",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corey Jay Seyler, P.A.-C.
• Anil Ajit Shah, MD
• Jainal Hitendra Shah
• Kashyap Shah, DO
• Morali Shah
• Pallav N Shah, MD
• Cynthia Shain
• Shaheen Shamji, DO
• Deanna Shank, PA-C
• Shannon Kearney, DO, PC

• Psychiatry Physician in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.