Active NPI
Rajesh M Shah M D
- Critical Care Medicine (Internal Medicine) Physician
- Ellicott City, MD
National Provider Identifier
1831694066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- Legal business name
- RAJESH M SHAH M D
- Practice address
- 8353 Governor Run
Ellicott City, MD 21043-3448 - Phone
- (410) 615-2968
- NPI assigned
- Mar 29, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajesh Shah, MD
- Title
- Ceo
- Phone
- (410) 615-2968
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | Primary |
Addresses
Primary practice location
8353 Governor Run
Ellicott City, MD 21043-3448
Mailing address
8353 Governor Run
Ellicott City, MD 21043-3448
Phone (410) 615-2968
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407744000 | Medicaid | MD |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1522281600000",
"number": "1831694066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8353 GOVERNOR RUN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433448",
"telephone_number": "410-615-2968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8353 GOVERNOR RUN",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "210433448",
"telephone_number": "410-615-2968"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAJESH M SHAH M D",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-29",
"last_updated": "2018-03-29",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "RAJESH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "410-615-2968",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407744000",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.