Active NPI
Shilpa Kamal Shah, DO
- Pediatrics Physician
- Cincinnati, OH
National Provider Identifier
1972707560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 009880
- Practice address
- 3333 Burnet Ave
ML 2005
Cincinnati, OH 45229-3026 - Phone
- (513) 636-4825
- NPI assigned
- Jun 14, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 009880 | OH | Primary |
| Pediatrics Physician | 208000000X | N2292 | TX |
Addresses
Primary practice location
3333 Burnet Ave
ML 2005
Cincinnati, OH 45229-3026
Mailing address
4388 Centennial Dr
Apt 206
Cincinnati, OH 45227-2659
Phone (281) 841-6023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3851526913 | Other | MYUTMB 3851526913-COMMERCIAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Rowan University School of Osteopathic Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 W Sunset Blvd
Los Angeles, CA 90027-6062
Phone (323) 361-8408
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009880 | OH | MD | Pediatrics Physician |
| 14846 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Hospital Los Angeles Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| Childrens Hospital of Los Angeles | Past | Accepting new patients | |
| Children'S Hospital Los Angeles | Past | Accepting new patients | |
| Methodist Healthcare System of San Antonio, LTD., L.L.P. | Past | Accepting new patients | |
| Harris County Hospital District | Past | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
Pediatrics
-
- Children's Chronic Disease Hospital
- Los Angeles, CA
- NPI 1366527954
-
- Children's Hospital
- Los Angeles, CA
- NPI 1124073366
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
-
- Rehabilitation Hospital Unit
- San Antonio, TX
- NPI 1134166069
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1972707560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4388 CENTENNIAL DR",
"address_2": "APT 206",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452272659",
"telephone_number": "281-841-6023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 BURNET AVE",
"address_2": "ML 2005",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452293026",
"telephone_number": "513-636-4825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHILPA",
"middle_name": "KAMAL",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-14",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "009880",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "N2292",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MYUTMB 3851526913-COMMERCIAL NUMBER",
"identifier": "3851526913",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.