Samir S Shah, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

292980 Issued in MA

Practice address

323 Lowell St
Andover, MA 01810-4659

Phone

(978) 794-1946

NPI assigned

May 17, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, NH2 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

Specialty

Internal Medicine

Education

Nova Southeastern College of Osteo Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Orthopaedic Alliance PLLCGroup PAC ID 5991149809, 288 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
• Anna Jaques Hospital Hospital, Newburyport, MA, CCN 220029
• Wentworth-Douglass Hospital Hospital, Dover, NH, CCN 300018
• Massachusetts General Hospital Hospital, Boston, MA, CCN 220071

Merit-based Incentive Payment System (MIPS)

Final score

74.33 of 100Reported as group

Quality

45.66

Promoting interoperability

100

Improvement activities

40

Cost

68.76

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samir.shah.3@26085.direct.athenahealth.com
• Direct secure messaging: samir.shah.1@6240.direct.athenahealth.com

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.

• Northeast Orthopaedic Alliance PLLC

  • Orthopaedic Surgery Physician
  • Waltham, MA
  • NPI 1417724170

  NH

  Medicare reassignment Care Compare group NPD
• Eone Medical PLLC

  • Orthopaedic Surgery Physician
  • Andover, MA
  • NPI 1629796305
  Medicare reassignment NPD
• Eone Medical Subsidiary PLLC

  • Orthopaedic Surgery Physician
  • Andover, MA
  • NPI 1629796321
  Medicare reassignment NPD
• Orthopaedics Northeast P.C.

  • Orthopaedic Surgery Physician
  • N Andover, MA
  • NPI 1003805540

  Rheumatology

  Medicare reassignment NPD
• Eone Medical PLLC

  • Orthopaedic Surgery Physician
  • Salem, NH
  • NPI 1407510712
  Medicare reassignment NPD
• Eone Medical Subsidiary PLLC

  • Orthopaedic Surgery Physician
  • Salem, NH
  • NPI 1215680756
  Medicare reassignment NPD
• Orthopaedics Northeast, LLC

  • Orthopaedic Surgery Physician
  • North Andover, MA
  • NPI 1962884866
  Medicare reassignment
• Northeast Orthopaedic Alliance PLLC

  • Durable Medical Equipment & Medical Supplies
  • Derry, NH
  • NPI 1477374155
  NPD

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

• Anna Jaques Hospital

  • General Acute Care Hospital
  • Newburyport, MA
  • NPI 1992779482
  Care Compare affiliation
• Lawrence General Hospital

  • General Acute Care Hospital
  • Lawrence, MA
  • NPI 1750381281
  Care Compare affiliation
• The General Hospital Corporation

  • General Acute Care Hospital
  • Boston, MA
  • NPI 1023049236
  Care Compare affiliation
• Wentworth Douglass Hospital

  • General Acute Care Hospital
  • Dover, NH
  • NPI 1033118104
  Care Compare affiliation
• Wentworth Douglass Hospital

  • Diabetes Educator Registered Nurse
  • Dover, NH
  • NPI 1407385198

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1871020156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 TURNPIKE ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018455924",
            "telephone_number": "978-794-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 LOWELL ST",
            "city": "ANDOVER",
            "state": "MA",
            "postal_code": "018104659",
            "telephone_number": "978-794-1946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Pelham Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793077",
            "country_code": "US",
            "telephone_number": "978-794-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIR",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "23138",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "MA",
            "license": "292980",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NH",
            "license": "23138",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "292980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omayra Sepulveda
• Jill Gleason Sergeant, L.I.C.S.W.
• Kathleen Serrano, LICSW
• Kristen Elaine Sgrosso, OTR
• Howard Jeffrey Shaffer, PH.D.
• Steven R. Shank, M.A., LMHC
• Apara Sharma, DMD
• Shawsheen Medical Asso PC
• Ashley I Sheehan
• Karyn Lynn Sheehan, LICSW

• Internal Medicine Physician in Andover, MA
• Providers in Andover, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.