Individual provider Active NPI

Vivan Pranav Shah, MD

  • Physical Medicine & Rehabilitation Physician
  • York, PA
National Provider Identifier
1922592880
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD479688 Issued in PA
Practice address
1850 Normandie Dr
York, PA 17408-1534
Phone
(872) 231-3162
NPI assigned
Jun 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 01088086A IN
Physical Medicine & Rehabilitation Physician 208100000X MD479688 PA Primary

Addresses

Primary practice location

1850 Normandie Dr
York, PA 17408-1534

Mailing address

PO Box 22239
New York, NY 10087-0001
Phone (702) 899-0595

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address vshah502844@Direct.Parkviewexchange.com
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/
FHIR URL https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240221002486 PA Practitioner - Physical Medicine and Rehabilitation 4688055478 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Health Rehabilitation LLCGroup PAC ID 4284952615, 153 clinicians
Good Shepherd Rehabilitation HospitalGroup PAC ID 9335032390, 21 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, 611 clinicians

Practice addresses (Care Compare)

1850 Normandie Dr
York, PA 17408-1534
Phone (201) 654-6397

3200 Ctr Valley Pkwy
Center Valley, PA 18034-9519
Phone (610) 776-3100

700 High St
Williamsport, PA 17701-3100
Phone (570) 321-2619

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • Upmc Williamsport Hospital, Williamsport, PA, CCN 390045
  • St Luke'S Hospital - Carbon Campus Hospital, Lehighton, PA, CCN 390335
  • Good Shepherd Rehabilitation Hospital, the Inpatient rehabilitation facility, Center Valley, PA, CCN 393035
  • Ut Health East Texas Rehabilitation Hospital Inpatient rehabilitation facility, Tyler, TX, CCN 453072
  • Upmc Susquehanna Williamsport Inpatient rehabilitation facility, Williamsport, PA, CCN 39T045

Merit-based Incentive Payment System (MIPS)

Final score
83.53 of 100Reported as group
Quality
70
Promoting interoperability
100
Improvement activities
40
Cost
75.11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01088086AINMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Good Shepherd Rehabilitation Hospital Physical Medicine & Rehabilitation CurrentSince Feb 1, 2024 Accepting new patients
Susquehanna Physician Services Physical Medicine & Rehabilitation CurrentSince Jun 6, 2025 Accepting new patients
Good Shepherd Rehabilitation Hospital CurrentSince Feb 1, 2024 Accepting new patients
Susquehanna Physician Services CurrentSince Jun 6, 2025 Accepting new patients
Parkview Health System Inc Current Accepting new patients
National Health Rehabilitation LLC Physical Medicine & Rehabilitation CurrentSince Jan 1, 2025 Accepting new patients

Locations

2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000

2231 Carew St
Fort Wayne, IN 46805
Phone (260) 266-7856

11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012

240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000

512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556

850 S 5th St
Allentown, PA 18103
Phone (610) 776-3278

2845 Center Valley Pkwy
Ste 450
Center Valley, PA 18034
Phone (610) 776-3278

3200 Center Valley Pkwy
Center Valley, PA 18034
Phone (610) 242-0345

510 Brookmont Dr
Effort, PA 18330
Phone (610) 681-4070

2050 Old West Chester Pike
Havertown, PA 19083
Phone (610) 449-8600

1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723

700 High St
Williamsport, PA 17701
Phone (570) 321-1000

700 High St
#P
Williamsport, PA 17701
Phone (570) 321-2619

1850 Normandie Dr
York, PA 17408
Phone (717) 764-4251

1770 Barley Rd
York, PA 17408
Phone (717) 755-8811

306 W Due West Ave
Madison, TN 37115
Phone (615) 612-4499

Interoperability endpoints

  • Direct secure messaging: vivan.shah.1@11391.direct.athenahealth.com
  • Direct secure messaging: vshah502844@direct.parkviewexchange.com
  • Direct secure messaging: vivan.shah@upmcdirect.com
  • FHIR API: https://api.platform.athenahealth.com/11391/brand/2/csg/21/fhir/r4

Organizations & group practices 6

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1922592880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22239",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870001",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 NORMANDIE DR",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174081534",
            "telephone_number": "872-231-3162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIVAN",
        "middle_name": "PRANAV",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01088086A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD479688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vshah502844@Direct.Parkviewexchange.com",
            "affiliation": "N",
            "address_1": "2231 Carew St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2231 Carew St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "2231 Carew St",
            "city": "Fort Wayne",
            "state": "IN",
            "country_code": "US",
            "postal_code": "468054713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.