Individual provider Active NPI

Bahram Shah-Hosseini, M.D.

  • Obstetrics & Gynecology Physician
  • Providence, RI
National Provider Identifier
1932138203
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD04758 Issued in RI
Practice address
2 Dudley St
Suite 510
Providence, RI 02905-3236
Phone
(401) 453-3433
Fax
(401) 453-0695
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD04758 RI Primary

Addresses

Primary practice location

2 Dudley St
Suite 510
Providence, RI 02905-3236

Mailing address

30 Briarwood Rd
Lincoln, RI 02865-1003
Phone (401) 453-3433

Other identifiers 1

IdentifierTypeStateIssuer
MD04758OtherRISTATE LICENSE

Other names 1

  • Barry Shah Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Southern New England Past Accepting new patients
Planned Parenthood of Southern New England, Inc. PastSince Apr 15, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bshahhosseini@wih.cernerdirect.carene.org
  • FHIR API: https://api.platform.athenahealth.com/11510/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1932138203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 BRIARWOOD RD",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651003",
            "telephone_number": "401-453-3433",
            "fax_number": "401-333-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST",
            "address_2": "SUITE 510",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053236",
            "telephone_number": "401-453-3433",
            "fax_number": "401-453-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH-HOSSEINI",
        "first_name": "BAHRAM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "RI",
            "license": "MD04758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD04758",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARRY",
            "last_name": "SHAH",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.