Neel Nitin Shah, MD

Primary specialty

Vascular Neurology PhysicianTaxonomy code 2084V0102X

License

Q7470 Issued in TX

Practice address

400 Rosalind Redfern Grover Pkwy Ste 120
Midland, TX 79701-5849

Phone

(432) 221-5970

Fax

(866) 634-3322

NPI assigned

May 29, 2012

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

Other identifiers 2

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Neurology

Education

Medical College of Georgia School of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Premier Family Care I IncGroup PAC ID 2567351372, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Midland Memorial Hospital Hospital, Midland, TX, CCN 450133

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: neel.shah.1@3522.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
• Direct secure messaging: nshah171459@direct.ghs.myhfn.org

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.

• Premier Family Care I, Inc

  • General Practice Physician
  • Midland, TX
  • NPI 1275522864

  Neurology

  Medicare reassignment Care Compare group NPD
• Premier Physicians

  • Physician Assistant
  • Midland, TX
  • NPI 1316241995
  NPD (past)

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

• Midland County Hospital District

  • General Acute Care Hospital
  • Midland, TX
  • NPI 1255325817
  Care Compare affiliation

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711843200000",
    "number": "1861752529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ROSALIND REDFERN GROVER PKWY STE 120",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015849",
            "telephone_number": "432-221-5970",
            "fax_number": "866-634-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEEL",
        "middle_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-29",
        "last_updated": "2024-03-31",
        "certification_date": "2024-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q7470",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "SC",
            "license": "40680",
            "primary": false
        },
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "TX",
            "license": "Q7470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX MED LIC",
            "identifier": "Q7470",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "406803",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshah171459@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nshah171459@direct.ghs.myhfn.org",
            "address_1": "109 Physicians Dr Ste C",
            "city": "Greer",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296502446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NEEL.SHAH.1@3522.DIRECT.ATHENAHEALTH.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "400 Rosalind Redfern Grover Pkwy Ste 120",
            "city": "Midland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "797015849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sentinel Medical Group PLLC
• Serenity Meadows Care Center Corporation
• Richard LC Sevcik, CRNA
• Olleca Severson
• Harshad G Shah, MD,PA
• Nidhi Girishchandra Shah, M.D.
• Rubana A Shah, PA-S
• Justin Shanks, FNP-C
• Sharon G Wilcox
• Kaley Paige Shaw, PA-S

• Vascular Neurology Physician in Midland, TX
• Providers in Midland, TX by specialty
• Vascular Neurology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• 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.