Individual provider Active NPI

Vijay P Shah, MD

  • Cardiovascular Disease Physician
  • Hobart, IN
National Provider Identifier
1821084773
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01044106 Issued in IN
Practice address
1400 S Lake Park Ave
500
Hobart, IN 46342-6790
Phone
(219) 942-7463
Fax
(219) 756-8001
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01044106 IN Primary

Addresses

Primary practice location

1400 S Lake Park Ave
500
Hobart, IN 46342-6790

Mailing address

311 E 89TH Ave
Suite 100
Merrillville, IN 46410-8126
Phone (219) 756-8400

Other identifiers 1

IdentifierTypeStateIssuer
200049440MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041116000095 IN Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 1557256427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Cardiac Electrophysiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Hospitals Cardiographics, LLCGroup PAC ID 0749244499, 9 clinicians
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

600 Richard Gordon Hatcher Blvd
Gary, IN 46402-6001
Phone (219) 886-4000

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5510

8792 E Ridge Rd
Methodist Phy Group
Hobart, IN 46342-2586
Phone (219) 364-3700

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Powers Health Rehabilitation Center Inpatient rehabilitation facility, Crown Point, IN, CCN 153045

Merit-based Incentive Payment System (MIPS)

Final score
22.01 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
73.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01044106INMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Clinics PC Cardiovascular Disease Current Accepting new patients
Heart Clinics Professional Corporation Cardiovascular Disease CurrentSince Jul 27, 2009 Accepting new patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
Cardiovascular Clinics PC Cardiovascular Disease Past Accepting new patients

Locations

1500 S Lake Park Ave
Hobart, IN 46342
Phone (219) 942-0551

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

311 E 89th Ave
#100
Merrillville, IN 46410
Phone (219) 756-8400

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

311 E 89th Ave
Ste 100
Merrillville, IN 46410
Phone (219) 756-8400

55 E 86th Ave
Merrillville, IN 46410
Phone 2197691670207

311 E 89th Ave
Merrillville, IN 46410
Phone (219) 769-6639

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257292800000",
    "number": "1821084773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 89TH AVE",
            "address_2": "SUITE 100",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464108126",
            "telephone_number": "219-756-8400",
            "fax_number": "219-756-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE",
            "address_2": "500",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426790",
            "telephone_number": "219-942-7463",
            "fax_number": "219-756-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIJAY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2009-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01044106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049440",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.