Individual provider Active NPI

Jigisha Tanmay Shah, M.D.

  • Family Medicine Physician
  • Teaneck, NJ
National Provider Identifier
1891950770
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA08992800 Issued in NJ
Practice address
780 Cedar LN
Valley Health Medical Group
Teaneck, NJ 07666-1706
Phone
(201) 836-7664
NPI assigned
Jul 21, 2008
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 25MA08992800 NJ Primary

Addresses

Primary practice location

780 Cedar LN
Valley Health Medical Group
Teaneck, NJ 07666-1706

Mailing address

780 Cedar LN
Valley Health Medical Group
Teaneck, NJ 07666

Other names 1

  • Dr. Jigisha Ganeshbhai Chauha Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190226001531 TX Practitioner - Family Practice 5294901187 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3514 Hwy 36 S
Suite 600
Rosenberg, TX 77471-9119
Phone (281) 407-1911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08992800NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Feb 11, 2019 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Feb 11, 2019 Accepting new patients
Doctors Express of the Beaumont Area PA CurrentSince Apr 16, 2022 Accepting new patients
Southlake Doctors Express, PA PSC Current Accepting new patients
SRM Urgent Care PLLC Family Medicine CurrentSince Dec 1, 2022 Accepting new patients
Houston Medical Care, PA PastSince Apr 16, 2022 Accepting new patients
Valley Physician Services, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients
Valley Health Medical Group, NJ-PC Family Medicine Past Accepting new patients
Nexact LLC Family Medicine PastSince Jun 3, 2017 Accepting new patients
Nexpc1 LLC PastSince Jan 1, 2012 Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

6600 S Mopac Expy
Ste 2180
Austin, TX 78749
Phone (512) 522-3010

8831 N Highway 146
Baytown, TX 77523
Phone (281) 533-8354

3195 Dowlen Rd
Ste 105
Beaumont, TX 77706
Phone (409) 860-1888

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

10909 East Fwy
#I10
Houston, TX 77029
Phone (713) 675-4777

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

5568 Weslayan St
Houston, TX 77005
Phone (713) 666-7050

6445 FM 1463 Rd
Ste 230
Katy, TX 77494
Phone (281) 990-6890

8850 Spencer Hwy
La Porte, TX 77571
Phone (281) 946-9980

1921 W League City Pkwy
Ste 130
League City, TX 77573
Phone (281) 937-2590

3514 Highway 36 S
Ste 600
Rosenberg, TX 77471
Phone (281) 261-0370

2315 E Southlake Blvd
Ste 110
Southlake, TX 76092
Phone (817) 488-9922

Organizations & group practices 12

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1891950770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 CEDAR LN",
            "address_2": "VALLEY HEALTH MEDICAL GROUP",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "07666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 CEDAR LN",
            "address_2": "VALLEY HEALTH MEDICAL GROUP",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661706",
            "telephone_number": "201-836-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JIGISHA",
        "middle_name": "TANMAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08992800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JIGISHA",
            "last_name": "CHAUHA",
            "middle_name": "GANESHBHAI",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.