Organization Active NPI

Subhash Shah MD PA

Doing business as Neurology Center of Wichita

  • Specialist
  • Wichita, KS
National Provider Identifier
1891805727
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
04-24004 Issued in KS
Legal business name
SUBHASH SHAH MD PA
Doing business as
Neurology Center of Wichita
Practice address
220 S Hillside St
Wichita, KS 67211-2150
Phone
(316) 686-6866
Fax
(316) 686-9797
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Authorized official

Name
Subhash H Shah, MDNPI 1588667372
Title
Owner
Phone
(316) 686-6866

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 04-24004 KS Primary

Addresses

Primary practice location

220 S Hillside St
Wichita, KS 67211-2150

Mailing address

220 S Hillside St
Wichita, KS 67211-2150
Phone (316) 686-6866

Other identifiers 2

IdentifierTypeStateIssuer
100136270BMedicaidKS
10046140AMedicaidKS

Other names 1

  • Neurology Center of Wichita Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170525000113 KS Part B Supplier - Clinic/Group Practice 5496022303 Receives reassigned benefits from 2 practitioners
Practice locations: Wichita, KS

National Provider Directory

National Provider Directory

Locations

220 S Hillside St
Wichita, KS 67211
Phone (316) 686-6866

220 S Hillside St
Ste A
Wichita, KS 67211
Phone (316) 686-6866

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1891805727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112150",
            "telephone_number": "316-686-6866",
            "fax_number": "316-686-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S HILLSIDE ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672112150",
            "telephone_number": "316-686-6866",
            "fax_number": "316-686-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBHASH SHAH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "SUBHASH",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-686-6866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "04-24004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100136270B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10046140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurology Center of Wichita",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.