Active NPI
Dhaivat Janakbhai Shah, MD
- Student in an Organized Health Care Education/Training Program
- Bristol, PA
National Provider Identifier
1831934488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- MT231162
- Practice address
- 501 Bath Rd
Bristol, PA 19007-3190 - Phone
- (347) 259-6610
- NPI assigned
- Jun 26, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MT231162 | PA | Primary |
Addresses
Primary practice location
501 Bath Rd
Bristol, PA 19007-3190
Mailing address
1970 Veterans Hwy Apt H1
Levittown, PA 19056-2510
Phone (347) 259-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251025000005 | PA | Order and Referring Only - Family Practice | 5698263184 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT231162 | PA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1831934488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 VETERANS HWY APT H1",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190562510",
"telephone_number": "347-259-6610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 BATH RD",
"city": "BRISTOL",
"state": "PA",
"postal_code": "190073190",
"telephone_number": "347-259-6610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DHAIVAT",
"middle_name": "JANAKBHAI",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT231162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, PA
- SE Health Care at Home LLC (AccentCare Home Health of Southeastern Pennsylvania)
- Senior Care Centers of Pennsylvania, Inc. (Active Day of Bristol)
- Amanda Lynn Senske, LPC
- Sepa Lab - Bristol
- Monica Rose Seydel
- Anne W. Shannon, MD
- Rajan Sharma Kandel, MD
- Abhimanyu Sharma, MD
- Abhinav Sharma, MD
- Heidi C Sharpe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.