Active NPI
Kamalesh Shah, M.D.
- Surgical Critical Care Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- MD043521E
- Practice address
- 1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103-6369 - Phone
- (610) 402-1175
- Fax
- (610) 402-1356
- NPI assigned
- Oct 2, 2006
- Last updated
- Dec 7, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD043521EP | PA | |
| Surgical Critical Care Physician | 2086S0102X | MD043521E | PA | Primary |
| Hospice and Palliative Medicine (Surgery) Physician | 2086H0002X | MD043521E | PA |
Addresses
Primary practice location
1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103-6369
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD043521EP | PA | MD | Surgery Physician |
| MD043521E | PA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Surgery | Current | Accepting new patients |
Locations
1210 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-1150
1210 S Cedar Crest Blvd
#3700
Allentown, PA 18103
Phone (215) 821-1174
1210 S Cedar Crest Blvd
Ste 3300
Allentown, PA 18103
Phone (610) 402-8506
1240 S Cedar Crest Blvd
Ste 308
Allentown, PA 18103
Phone (610) 402-1175
1240 S Cedar Crest Blvd
Ste 401
Allentown, PA 18103
Phone (610) 402-3650
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
Interoperability endpoints
- kshah12086@direct2.lvhn.org
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449446400000",
"number": "1972696417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1240 S CEDAR CREST BLVD",
"address_2": "STE 308",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036369",
"telephone_number": "610-402-1175",
"fax_number": "610-402-1356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KAMALESH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2015-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD043521EP",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "PA",
"license": "MD043521E",
"primary": true
},
{
"code": "2086H0002X",
"taxonomy_group": "",
"desc": "Surgery, Hospice and Palliative Medicine",
"state": "PA",
"license": "MD043521E",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.