Active NPI
Mitchell Carey Shirah, M.D.
- Family Medicine Physician
- Roanoke, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9705
- Practice address
- 59664 Highway 22
Roanoke, AL 36274-4438 - Phone
- (334) 863-8952
- Fax
- (334) 863-2361
- NPI assigned
- Nov 21, 2005
- Last updated
- Mar 29, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9705 | AL | Primary |
Addresses
Primary practice location
59664 Highway 22
Roanoke, AL 36274-4438
Mailing address
59664 Highway 22
Roanoke, AL 36274-4438
Phone (334) 863-8952
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00181558 | Other | RAILROAD MEDICARE | |
| 000010937 | Other | MEDICARE | |
| 000010937 | Medicaid | AL | |
| 51525162 | Other | AL | BCBS OF AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of South Alabama College of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
59664 Hwy 22
Roanoke, AL 36274-4438
Phone (334) 863-8951
Hospital & facility affiliations
- Amedisys Home Health of Anniston
- Tanner Medical Center-East Alabama
- Flowers Hospital
- Wellstar West Georgia Medical Center
- Roanoke Rehabilitation & Healthcare Center
- Traylor Retirement Community
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mitchell C. Shirah M.D. P.C. | Family Medicine | Current | Accepting new patients |
| App of Alabama Ed PLLC | Current | Accepting new patients | |
| Roanoke Healthcare Center LLC | Past | Accepting new patients | |
| Randolph Management Company, Inc. | Past | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
1701 Pelham Rd S
Jacksonville, AL 36265
Phone (256) 435-4970
4441 Highway 431
Ste 1
Roanoke, AL 36274
Phone (334) 863-8281
59664 Highway 22
Roanoke, AL 36274
Phone (334) 863-8951
Networks
- bcbs alabama network 01H0
- bcbs alabama network 01C0
- bcbs alabama network 01E0
- bcbs alabama network 01A0
- bcbs alabama network 01B0
- bcbs alabama network 01G0
Interoperability endpoints
- mitchell.shirah.1@15682.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Russellville, AL
- NPI 1659646040
-
- Family Medicine Physician
- Roanoke, AL
- NPI 1265603351
-
dba Traylor Retirement Community
- Skilled Nursing Facility
- Roanoke, AL
- NPI 1598159501
-
- Skilled Nursing Facility
- Roanoke, AL
- NPI 1477597227
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Anniston, AL
- NPI 1245298892
-
dba Traylor Retirement Community
- Skilled Nursing Facility
- Roanoke, AL
- NPI 1598159501
Nursing home
-
dba Tanner Medical Center East Alabama
- Critical Access Hospital
- Wedowee, AL
- NPI 1912428301
-
dba WellStar West Georgia Medical Center
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364515200000",
"number": "1902889371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59664 HIGHWAY 22",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362744438",
"telephone_number": "334-863-8952",
"fax_number": "334-863-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59664 HIGHWAY 22",
"city": "ROANOKE",
"state": "AL",
"postal_code": "362744438",
"telephone_number": "334-863-8952",
"fax_number": "334-863-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIRAH",
"first_name": "MITCHELL",
"middle_name": "CAREY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2013-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "9705",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00181558",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "000010937",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000010937",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF AL",
"identifier": "51525162",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, AL
- Roanoke Healthcare Authority (Randolph Medical Center)
- Roanoke Healthcare Center LLC
- Michael Robinson, DO
- Helen Scharko, M.D.
- Dalton Screws
- Jagroop Singh
- State of Alabama Department of Public Health (Randolph County Home Care)
- State of Alabama Department of Public Health (Randolph County Home Care)
- State of Alabama Department of Public Health (Randolph County Home Care)
- State of Alabama Department of Public Health (Randolph County Health Dept Flu-Pneu)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.