Active NPI
Disha R. Shah, MD
- Family Medicine Physician
- Norfolk, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 50665
- Practice address
- 7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700 - Phone
- (757) 330-0150
- Fax
- (877) 487-3044
- NPI assigned
- Aug 9, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 50665 | TN | Primary |
Addresses
Primary practice location
7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Mailing address
7525 Tidewater Dr Ste 19
Norfolk, VA 23505-3700
Phone (757) 330-0150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q005112 | Medicaid | TN | |
| 12083 | Medicaid | ND |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | disha.shah.1@29601.direct.athenahealth.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
1947 Madison St
Suite B
Clarksville, TN 37043-8033
Phone (931) 614-7169
980 Professional Park Dr
Clarksville, TN 37040-5251
Phone (931) 221-9967
Hospital & facility affiliations
- Amedisys Home Health
- Centerwell Home Health
- Suncrest Home Health
- Vanderbilt Clarksville Hospital
- Tristar Northcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pennyroyal Healthcare Services, Inc. | Current | Accepting new patients | |
| Healthstar Medical Group PLLC | Current | Accepting new patients | |
| Centerwell Senior Primary Care TN PC | Family Medicine | Current | Accepting new patients |
| Pennyroyal Healthcare Services, Inc | Current | Accepting new patients | |
| Centerwell Senior Primary Care TN PC | Family Medicine | Current | Accepting new patients |
| Centerwell Senior Primary Care TN PC | Family Medicine | Current | Accepting new patients |
| Pennyroyal Healthcare Services, Inc. | Current | Accepting new patients | |
| Red River Medical Group Corporation | Past | Accepting new patients | |
| Centerwell Senior Primary Care TN PC | Family Medicine | Past | Accepting new patients |
Locations
1102 S Virginia St
Hopkinsville, KY 42240
Phone (270) 707-1160
244 Thompsonville Ln
Oak Grove, KY 42262
Phone (270) 632-6743
310 Hawthorne St
Princeton, KY 42445
Phone (270) 365-0227
1947 Madison St
Ste B
Clarksville, TN 37043
Phone (931) 614-7169
1960 Madison St
Clarksville, TN 37043
560 Fire Station Rd
Clarksville, TN 37043
Phone (931) 358-4146
4901 Nolensville Rd
Nashville, TN 37211
Phone (615) 760-5022
Interoperability endpoints
- disha.shah.1@29601.direct.athenahealth.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1649900135
Family Medicine
-
- Urgent Care Clinic/Center
- Clarksville, TN
- NPI 1801675426
-
- Federally Qualified Health Center (FQHC)
- Hopkinsville, KY
- NPI 1124319942
-
- Internal Medicine Physician
- Clarksville, TN
- NPI 1255061743
Family Medicine
-
- Internal Medicine Physician
- Murfreesboro, TN
- NPI 1578354668
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Hopkinsville, KY
- NPI 1104532332
-
- Federally Qualified Health Center (FQHC)
- Oak Grove, KY
- NPI 1720454507
-
- Internal Medicine Physician
- Miami, FL
- NPI 1770222473
Family Medicine
-
- Internal Medicine Physician
- Clarksville, TN
- NPI 1629857248
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Brentwood, TN
- NPI 1972551794
-
- Home Health Agency
- Nashville, TN
- NPI 1427089697
-
- General Acute Care Hospital
- Clarksville, TN
- NPI 1285689794
-
- Home Health Agency
- Clarksville, TN
- NPI 1427003607
-
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771372800000",
"number": "1982919585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7525 TIDEWATER DR STE 19",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053700",
"telephone_number": "757-330-0150",
"fax_number": "877-487-3044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7525 TIDEWATER DR STE 19",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235053700",
"telephone_number": "757-330-0150",
"fax_number": "877-487-3044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "DISHA",
"middle_name": "R.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-09",
"last_updated": "2026-02-18",
"certification_date": "2026-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "50665",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q005112",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12083",
"state": "ND"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "disha.shah.1@29601.direct.athenahealth.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7525 Tidewater Dr Ste 19",
"city": "Norfolk",
"state": "VA",
"country_code": "US",
"postal_code": "235053700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.