Tejas U Shah, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

TP323 Issued in KY

Practice address

617 23Rd St Ste 8B
Ashland, KY 41101-2845

Phone

(606) 408-1290

NPI assigned

Apr 15, 2016

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NJ

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

Anesthesiology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Parkway Anesthesia Associates LLCGroup PAC ID 2567758931, 313 clinicians

Rutgers Health-RWJ Pediatric Critical CareGroup PAC ID 1355390287, 153 clinicians

Rwjbh Observation Associates LLCGroup PAC ID 5193137503, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041
• Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038
• Saint Peter's University Hospital Hospital, New Brunswick, NJ, CCN 310070

Medicare enrollment (NPD)

Enrolled

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.

• Parkway Anesthesia Associates LLC

  • Anesthesiology Physician
  • North Bergen, NJ
  • NPI 1518319755
  Medicare reassignment Care Compare group NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Family Medicine Physician
  • New Brunswick, NJ
  • NPI 1780766527
  Medicare reassignment Care Compare group NPD
• Rwjbh Observation Associates LLC

  • Emergency Medicine Physician
  • Livingston, NJ
  • NPI 1760095806
  Medicare reassignment Care Compare group NPD
• Rwjbh Emergency Medicine Associates, LLC

  • Emergency Medicine Physician
  • Somerset, NJ
  • NPI 1912510041
  Medicare reassignment NPD
• Rutgers Health-RWJ Pediatric Critical Care

  • Pediatric Critical Care Medicine Physician
  • New Brunswick, NJ
  • NPI 1164510400
  NPD

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

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation
• Robert Wood Johnson University Hospital, Inc

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1346243375
  Care Compare affiliation
• Saint Peter's University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Care Compare affiliation

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1821442849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411052379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 23RD ST STE 8B",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012845",
            "telephone_number": "606-408-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1729 Kinneys Ln Ste 202",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456623167",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "fax_number": "740-353-8908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TEJAS",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NJ",
            "license": "25MA10731600",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35.143113",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "KY",
            "license": "TP323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tshah77809@direct.kdhealth.us",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "TXT",
            "address_1": "617 23rd St Ste 8B",
            "city": "Ashland",
            "state": "KY",
            "country_code": "US",
            "postal_code": "411012845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bruce W Shaffer, D.M.D.
• Kathy Shaffer, PHARMD
• Matthew James Shaffer, M.D.
• Misty Lee Shaffer, APRN FNP-BC
• Mrudula J Shah, M.D.
• Khalid Shalaby
• Courtney Jean Sharp, COTA/L
• Desirae Sharp
• Wendy Jo Sharp, MD
• Shawn Gorden MD PSC

• Pain Medicine (Anesthesiology) Physician in Ashland, KY
• Providers in Ashland, KY by specialty
• Pain Medicine (Anesthesiology) Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.