Active NPI
Jyoti Shah
- Pulmonary Disease Physician
- Hollywood, MD
National Provider Identifier
1922027754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- D0063314
- Practice address
- 24035 Three Notch Rd
Hollywood, MD 20636-4871 - Phone
- (301) 373-7900
- Fax
- (301) 373-6900
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | D0063314 | MD | Primary |
Addresses
Primary practice location
24035 Three Notch Rd
Hollywood, MD 20636-4871
Mailing address
24035 Three Notch Rd
Hollywood, MD 20636-4871
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409492100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
24035 Three Notch Rd
Hollywood, MD 20636-4871
Phone (301) 373-7900
Hospital & facility affiliations
- Medstar Saint Mary'S Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.41 of 100
- Quality
- 61.45
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 79.91
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063314 | MD | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Current | Accepting new patients | |
| Medstar Medical Group - Southern Maryland LLC | Pulmonary Disease | Current | Accepting new patients |
| Medstar Southern Maryland Physicians, LLC | Past | Accepting new patients |
Locations
950 E Swan Creek Rd
Ft Washington, MD 20744
Phone (301) 292-0236
24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588
22650 Cedar Lane Ct
Leonardtown, MD 20650
Phone (301) 475-5021
Interoperability endpoints
- jyoti.shahmd.p2@direct.msmg.nextgenshare.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Hollywood, MD
- NPI 1831592211
DC, Pulmonary Disease
-
- Ambulatory Surgical Clinic/Center
- Waldorf, MD
- NPI 1730571118
-
- Hematology & Oncology Physician
- Bowie, MD
- NPI 1740087774
-
- Obstetrics & Gynecology Physician
- White Plains, MD
- NPI 1366644197
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Leonardtown, MD
- NPI 1780650473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922027754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24035 THREE NOTCH RD",
"city": "HOLLYWOOD",
"state": "MD",
"postal_code": "206364871",
"telephone_number": "301-373-7900",
"fax_number": "301-373-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "JYOTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MD",
"license": "D0063314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409492100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollywood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.