Individual provider Active NPI

Pramod A Shah, MD

  • Neurology Physician
  • Murfreesboro, TN
National Provider Identifier
1871506196
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD16163 Issued in TN
Practice address
5122 General Patton Ave
Murfreesboro, TN 37129-1698
Phone
(615) 486-9673
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD16163 TN Primary

Addresses

Primary practice location

5122 General Patton Ave
Murfreesboro, TN 37129-1698

Mailing address

5122 General Patton Ave
Murfreesboro, TN 37129-1698
Phone (615) 486-9673

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD16163TNMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Volunteer Behavioral Health Care System CurrentSince Aug 1, 2012 Accepting new patients

Locations

413 Spring St
Chattanooga, TN 37405
Phone (423) 756-2740

2700 Executive Park NW
Cleveland, TN 37312
Phone (423) 479-9581

118 N Church St
Murfreesboro, TN 37130
Phone (615) 278-2241

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/vbhcs/r4/

Organizations & group practices 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1871506196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 GENERAL PATTON AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291698",
            "telephone_number": "615-486-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 GENERAL PATTON AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371291698",
            "telephone_number": "615-486-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRAMOD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD16163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.