Individual provider Active NPI

Bharat J Shah, M.D.

  • Psychiatry Physician
  • Fairlawn, OH
National Provider Identifier
1891771630
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35051270S Issued in OH
Practice address
63 Baker Blvd
Fairlawn, OH 44333-3601
Phone
(330) 864-6331
Fax
(330) 572-0639
NPI assigned
Dec 22, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35051270S OH Primary

Addresses

Primary practice location

63 Baker Blvd
Fairlawn, OH 44333-3601

Mailing address

63 Baker Blvd
Fairlawn, OH 44333-3601
Phone (330) 864-6331

Other identifiers 1

IdentifierTypeStateIssuer
0590212MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20101013000055 OH Practitioner - Psychiatry 5395646434 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bharat J Shah MD IncGroup PAC ID 5890696926, 6 clinicians

Practice addresses (Care Compare)

63 Baker Blvd
Fairlawn, OH 44333-3601
Phone (330) 572-0645

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35051270SOHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bharat J Shah MD Inc CurrentSince Sep 17, 1986 Accepting new patients
Stephen J Francis, MD, Inc. PastSince Sep 22, 2003 Accepting new patients

Locations

63 Baker Blvd
Fairlawn, OH 44333
Phone (330) 572-0645

Interoperability endpoints

  • Direct secure messaging: bshah@shah.medentdirect.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891771630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BAKER BLVD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333601",
            "telephone_number": "330-864-6331",
            "fax_number": "330-572-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 BAKER BLVD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333601",
            "telephone_number": "330-864-6331",
            "fax_number": "330-572-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "BHARAT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35051270S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0590212",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.