Individual provider Active NPI

Shishir Hasmukhlal Shah, MD

  • Anesthesiology Physician
  • Siler City, NC
National Provider Identifier
1831184969
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
19498 Issued in WV
Practice address
475 Progress Blvd
Siler City, NC 27344-6787
Phone
(919) 786-6428
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 19498 WV
Anesthesiology Physician 207L00000X 2017-00040 NC
Anesthesiology Physician 207L00000X 19498 WV Primary

Addresses

Primary practice location

475 Progress Blvd
Siler City, NC 27344-6787

Mailing address

2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 234-8663

Other practice location 1

2000 Eoff St
Wheeling, WV 26003-3823
Phone (304) 233-2455

Other identifiers 1

IdentifierTypeStateIssuer
0048586001MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshah845769@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, NC2 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
I20070111000198 WV Practitioner - Anesthesiology 1557361862 Reassigns benefits to 1 organization
I20200326003530 NC Practitioner - Anesthesiology 1557361862 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Anesthesia Services Group IncGroup PAC ID 5799007324, 742 clinicians

Practice addresses (Care Compare)

301 Yadkin St
Albemarle, NC 28001-3441
Phone (980) 323-4000

8800 N Tryon St
Charlotte, NC 28262-3300
Phone (704) 863-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017-00040NCMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
CHS Anesthesia Services Group Inc Anesthesiology CurrentSince Dec 16, 2024 Accepting new patients
University of North Carolina at Chapel Hill Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Medstream Anesthesia PLLC Anesthesiology CurrentSince Oct 28, 2019 Accepting new patients
Morganton Anesthesia Partners, PLLC Anesthesiology CurrentSince Apr 1, 2021 Accepting new patients
Chatham Hospital, Inc. CurrentSince Aug 20, 2024 Accepting new patients
Know Pain Clinic, Inc Past Accepting new patients
Raleigh Anesthesia Associates, Inc Anesthesiology Past Accepting new patients
University of North Carolina at Chapel Hill Past Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 300
Cary, NC 27519
Phone (919) 481-4997

6330 Quadrangle Dr
Ste 200
Chapel Hill, NC 27517
Phone (984) 974-6688

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

1350 Raleigh Rd
Chapel Hill, NC 27517
Phone (984) 974-4110

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

460 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2444

430 Waterstone Dr
Hillsborough, NC 27278
Phone (984) 215-2000

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

7920 Acc Blvd
Ste 300
Raleigh, NC 27617
Phone (919) 908-0000

2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199

1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

1710 Harper Rd
Beckley, WV 25801
Phone (304) 252-0641

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: sshah2954346@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 11

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 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": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1831184969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EOFF ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033823",
            "telephone_number": "304-234-8663",
            "fax_number": "304-234-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 PROGRESS BLVD",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273446787",
            "telephone_number": "919-786-6428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Eoff St",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260033823",
            "country_code": "US",
            "telephone_number": "304-233-2455",
            "fax_number": "304-233-6073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHISHIR",
        "middle_name": "HASMUKHLAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "WV",
            "license": "19498",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2017-00040",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WV",
            "license": "19498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0048586001",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshah845769@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "475 Progress Blvd",
            "city": "Siler City",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273446787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

Verify at the official NPI Registry.