Individual provider Active NPI

Helly K Shah, MD

  • Pediatrics Physician
  • Rockwall, TX
National Provider Identifier
1831777010
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
V8393 Issued in TX
Practice address
201 E I30 Ste 100
Rockwall, TX 75087-5402
Phone
(972) 772-3100
NPI assigned
Mar 30, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X V8393 TX Primary

Addresses

Primary practice location

201 E I30 Ste 100
Rockwall, TX 75087-5402

Mailing address

1 Cooper PLZ
Camden, NJ 08103-1461

Other practice location 1

1 Cooper Plz
Camden, NJ 08103-1461
Phone (856) 757-7904

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240924000776 NJ Practitioner - Pediatric Medicine 7719428234 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
V8393TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pecan Tree Pediatrics, P.a. Pediatrics CurrentSince Aug 3, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 9, 2024 Accepting new patients

Locations

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

201 E Interstate 30
Ste 100
Rockwall, TX 75087
Phone (972) 772-3100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1831777010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E I30 STE 100",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750875402",
            "telephone_number": "972-772-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "856-757-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "HELLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "V8393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.