Individual provider Active NPI

Phalgoon A. Shah, MD

  • Pulmonary Disease Physician
  • Goodlettsville, TN
National Provider Identifier
1821409319
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
247712 Issued in TN
Practice address
110 Glancy St Ste 201
Goodlettsville, TN 37072-2313
Phone
(615) 355-5105
Fax
(615) 355-5195
NPI assigned
May 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X DR.0065750 CO
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 53445 KY
Pulmonary Disease Physician 207RP1001X 247712 TN Primary

Addresses

Primary practice location

110 Glancy St Ste 201
Goodlettsville, TN 37072-2313

Mailing address

13181 Old Nashville Hwy Ste 150
Smyrna, TN 37167-4034
Phone (615) 355-5105

Other practice location 1

1940 N Jackson St Ste 150
Tullahoma, TN 37388-8257
Phone (615) 355-5105

Other practice location 2

2250 Thornton Taylor Pkwy Ste B
Fayetteville, TN 37334-3651
Phone (615) 355-5105

Other practice location 3

13181 Old Nashville Hwy Ste 150
Smyrna, TN 37167-4034
Phone (615) 355-5105

Other identifiers 1

IdentifierTypeStateIssuer
247712OtherTNTN STATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, TX, NM4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20180124003286 OH Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 6507137312 Reassigns benefits to 9 organizations
I20200521002053 KY Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6507137312 Reassigns benefits to 2 organizations
I20241202000180 TX Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6507137312 Reassigns benefits to 1 organization
I20250113002601 NM Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6507137312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
El Paso Pulmonary AssociationGroup PAC ID 1456340991, 15 clinicians

Practice addresses (Care Compare)

2465 S Telshor Blvd
Las Cruces, NM 88011-5049
Phone (575) 339-1080

4305 N Mesa St
Suite a
El Paso, TX 79902-1124
Phone (915) 532-2477

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53445KYMDCritical Care Medicine (Internal Medicine) Physician
DR.0065750COMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North East Ohio Group Practice LLC Internal Medicine CurrentSince Mar 24, 2018 Accepting new patients
Apogee Medical Group Ohio Inc Internal Medicine CurrentSince Jul 13, 2018 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Sep 30, 2018 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jun 14, 2018 Accepting new patients
The Metrohealth System CurrentSince Jan 18, 2018 Accepting new patients
Hni Medical Services of Ohio, LLC Internal Medicine CurrentSince Jan 9, 2019 Accepting new patients
The Metrohealth System Internal Medicine CurrentSince Jan 18, 2018 Accepting new patients
Ashtabula County Medical Center CurrentSince Mar 25, 2019 Accepting new patients
Summit Medical Group, Inc Internal Medicine Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Mar 1, 2018 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Mar 26, 2024 Accepting new patients
Community Hospitalist, LLC Internal Medicine CurrentSince Mar 24, 2018 Accepting new patients
El Paso Pulmonary Association Critical Care Medicine CurrentSince Nov 10, 2024 Accepting new patients
El Paso Pulmonary Association Critical Care Medicine PastSince Dec 1, 2024 Accepting new patients
PHC-Las Cruces Inc Past Accepting new patients

Locations

600 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 532-2700

651 Centre View Blvd
Crestview Hills, KY 41017
Phone (859) 341-6660

1 Medical Village Dr
Edgewood, KY 41017
Phone (859) 301-2000

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217

2465 S Telshor Blvd
Las Cruces, NM 88011
Phone (575) 339-1080

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Cleveland Heights, OH 44106

630 E River St
Elyria, OH 44035
Phone (440) 329-7450

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

1865 N Lee Trevino Dr
El Paso, TX 79936
Phone (915) 590-1994

4305 N Mesa St
Ste A
El Paso, TX 79902
Phone (915) 532-2477

1865 N Lee Trevino Dr
Ste A
El Paso, TX 79936

Interoperability endpoints

  • Direct secure messaging: pshah1844489@direct.trinity-health.org
  • Direct secure messaging: pshah409099@direct-prd.stelizabeth.com

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 5

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1821409319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13181 OLD NASHVILLE HWY STE 150",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371674034",
            "telephone_number": "615-355-5105",
            "fax_number": "615-355-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 GLANCY ST STE 201",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722313",
            "telephone_number": "615-355-5105",
            "fax_number": "615-355-5195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1940 N Jackson St Ste 150",
            "address_purpose": "LOCATION",
            "city": "Tullahoma",
            "state": "TN",
            "postal_code": "373888257",
            "country_code": "US",
            "telephone_number": "615-355-5105",
            "fax_number": "615-355-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Thornton Taylor Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373343651",
            "country_code": "US",
            "telephone_number": "615-355-5105",
            "fax_number": "615-355-5195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13181 Old Nashville Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "TN",
            "postal_code": "371674034",
            "country_code": "US",
            "telephone_number": "615-355-5105",
            "fax_number": "615-355-5195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PHALGOON",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CO",
            "license": "DR.0065750",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "KY",
            "license": "53445",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TN",
            "license": "247712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN STATE LICENSE",
            "identifier": "247712",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "280 Exempla Cir",
            "city": "Lafayette",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800263370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

Verify at the official NPI Registry.