Individual provider Active NPI

Disha R. Shah, MD

  • Family Medicine Physician
  • Norfolk, VA
National Provider Identifier
1982919585
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
50665 Issued in TN
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

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q005112MedicaidTN
12083MedicaidND

Electronic endpoints 1

TypeEndpointUseAffiliation
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, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140723002155 TN Practitioner - Family Practice 3072739234 Reassigns benefits to 2 organizations
I20210615003137 KY Practitioner - General Practice 3072739234 Reassigns benefits to 1 organization

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
Centerwell Senior Primary Care TN PCGroup PAC ID 6709261712, 39 clinicians
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

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 Home health agency, Brentwood, TN, CCN 447107
  • Centerwell Home Health Home health agency, Nashville, TN, CCN 447488
  • Suncrest Home Health Home health agency, Clarksville, TN, CCN 447298
  • Vanderbilt Clarksville Hospital Hospital, Clarksville, TN, CCN 440035
  • Tristar Northcrest Medical Center Hospital, Springfield, TN, CCN 440065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennyroyal Healthcare Services, Inc. CurrentSince Mar 18, 2021 Accepting new patients
Healthstar Medical Group PLLC CurrentSince Nov 1, 2023 Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Pennyroyal Healthcare Services, Inc CurrentSince Mar 18, 2021 Accepting new patients
Centerwell Senior Primary Care TN PC Family Medicine CurrentSince Nov 11, 2024 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 PastSince Sep 24, 2023 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.