NPIMap

Individual provider Active NPI

Ripal Nitin Shah, M.D.

  • Diagnostic Radiology Physician
  • Durham, NC
National Provider Identifier
1891872099
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2008-02029 Issued in NC
Practice address
3643 N Roxboro St
Durham, NC 27704
Phone
(919) 470-5277
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2008-02029 NC Primary

Addresses

Primary practice location

3643 N Roxboro St
Durham, NC 27704

Mailing address

1121 Situs CT Ste 170
Raleigh, NC 27606-4279
Phone (919) 834-2767

Other practice location 1

Medical Center Blvd
Dept of Radiology
Winston Salem, NC 27157-0001
Phone (336) 806-3025

Other practice location 2

Medical Center Blvd
Dept of Radiology
Winston Salem, NC 27157-0001
Phone (336) 806-3025

Other identifiers 1

IdentifierTypeStateIssuer
5915288MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090702000625 NC Practitioner - Diagnostic Radiology 3173674173 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granville Health SystemGroup PAC ID 1052223757, 78 clinicians
Durham Radiology Associates IncGroup PAC ID 7719974807, 18 clinicians

Practice addresses (Care Compare)

1010 College St
Oxford, NC 27565-2507
Phone (919) 690-3237

1010 College St Diagnostic Radiology
Oxford, NC 27565-2507
Phone (919) 690-3000

3643 N Roxboro Rd
Durham, NC 27704-2702
Phone (919) 471-4840

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.33 of 100Reported as individual
Quality
85.58
Improvement activities
0
Cost
76.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2008-02029NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Durham Radiology Associates, Inc. Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Granville Health System Current Accepting new patients
Granville Health System Diagnostic Radiology CurrentSince Apr 1, 2024 Accepting new patients

Locations

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

4323 Ben Franklin Blvd
Durham, NC 27704
Phone (919) 471-4840

1010 College St
Oxford, NC 27565
Phone (919) 623-5115

1121 Situs Ct
Ste 170
Raleigh, NC 27606
Phone (919) 834-2767

Interoperability endpoints

  • Direct secure messaging: rshah49278@direct.medicine.duke.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1891872099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 SITUS CT STE 170",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276064279",
            "telephone_number": "919-834-2767",
            "fax_number": "919-851-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3643 N ROXBORO ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-470-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Medical Center Blvd",
            "address_2": "Dept of Radiology",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-806-3025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Medical Center Blvd",
            "address_2": "Dept of Radiology",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-806-3025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "RIPAL",
        "middle_name": "NITIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2008-02029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915288",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.