Active NPI
Summit S Shah, M.D.
- Allergy & Immunology Physician
- Dublin, OH
National Provider Identifier
1871702613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 35096318
- Practice address
- 6565 Perimeter Dr
Dublin, OH 43016-8461 - Phone
- (614) 328-9927
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 35096318 | OH | Primary |
Addresses
Primary practice location
6565 Perimeter Dr
Dublin, OH 43016-8461
Mailing address
6565 Perimeter Dr
Dublin, OH 43016-8461
Phone (614) 328-9927
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3114249 | Medicaid | OH |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35096318 | OH | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brockton Hospital, Inc. | Past | Accepting new patients | |
| Premier Allergy and Asthma Inc | Past | Accepting new patients | |
| Brockton Hospital, Inc. | Past | Accepting new patients | |
| CG Medical Associates Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
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- Urgent Care Clinic/Center
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- NPI 1982903951
-
- Allergy Physician
- Dublin, OH
- NPI 1639572381
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1770504599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1871702613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6565 PERIMETER DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168461",
"telephone_number": "614-328-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6565 PERIMETER DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430168461",
"telephone_number": "614-328-9927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SUMMIT",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "OH",
"license": "35096318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3114249",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.