NPIMap

Individual provider Active NPI

Kumudchandra J Shah, MD

  • Pulmonary Disease Physician
  • Gadsden, AL
National Provider Identifier
1922173277
Registry record updated Jul 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
10614 Issued in AL
Practice address
1401 Rainbow Dr
Gadsden, AL 35903
Phone
(256) 547-4931
Fax
(256) 547-1726
NPI assigned
Nov 22, 2006
Last updated
Jul 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 10614 AL
Pulmonary Disease Physician 207RP1001X 10614 AL Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 10614 AL

Addresses

Primary practice location

1401 Rainbow Dr
Gadsden, AL 35903

Mailing address

PO Box 7005
1401 Rainbow Dr
Gadsden, AL 35903
Phone (256) 547-4931

Other identifiers 1

IdentifierTypeStateIssuer
0151550321OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20040913000096 AL Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 0840267639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1401 Rainbow Dr
Gadsden, AL 35901-5319
Phone (256) 547-4931

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.84 of 100Reported as individual
Quality
46.7
Promoting interoperability
90
Improvement activities
40
Cost
85.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10614ALMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Clinic of Neal LLC Pulmonary Disease CurrentSince Mar 1, 2001 Accepting new patients

Locations

1401 Rainbow Dr
Gadsden, AL 35901
Phone (256) 546-5229

1401 Rainbow Dr
Ste A
Gadsden, AL 35901

Networks

  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01A0
  • bcbs alabama network 01B0
  • bcbs alabama network 01G0

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHGDDD/Endpoint/CHGDDD

Organizations & group practices 1

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374624000000",
    "number": "1922173277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7005",
            "address_2": "1401 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "256-547-4931",
            "fax_number": "256-547-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 RAINBOW DR",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35903",
            "telephone_number": "256-547-4931",
            "fax_number": "256-547-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KUMUDCHANDRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2013-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "10614",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AL",
            "license": "10614",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AL",
            "license": "10614",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0151550321",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.