Individual provider Active NPI

Viral Shah, DPM

  • Foot & Ankle Surgery Podiatrist
  • York, PA
National Provider Identifier
1992294730
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC007263 Issued in PA
Practice address
2410 S Queen St
York, PA 17402-4941
Phone
(717) 718-5511
NPI assigned
May 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X SC007263 PA Primary

Addresses

Primary practice location

2410 S Queen St
York, PA 17402-4941

Mailing address

2410 S Queen St
York, PA 17402-4941

Other practice location 1

500 Greenbriar Rd
York, PA 17404-1335
Phone (717) 718-5511

Other practice location 2

2050 E Market St
York, PA 17402-2844
Phone (717) 718-5511

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825003792 PA Practitioner - Podiatry 9830573724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Ankle and Foot Specialists PCGroup PAC ID 4183628423, 7 clinicians

Practice addresses (Care Compare)

2410 S Queen St
York, PA 17402-4941
Phone (717) 718-5511

Hospital & facility affiliations

  • Wellspan York Hospital Hospital, York, PA, CCN 390046
  • Upmc Memorial Hospital, York, PA, CCN 390101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue84
Removal of skin lesions157
Removal of nail tissue1976
Removal or shaving of skin growth584

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC007263PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Ankle & Foot Specialists PC Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients
Premier Ankle & Foot Specialists PC Foot & Ankle Surgery CurrentSince Sep 1, 2022 Accepting new patients

Locations

2050 E Market St
York, PA 17402
Phone (717) 718-5511

500 Greenbriar Rd
York, PA 17404
Phone (717) 718-5511

2410 S Queen St
York, PA 17402
Phone (717) 718-5511

Interoperability endpoints

  • Direct secure messaging: viral.shah.1@7838.direct.athenahealth.com

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.

Hospital & facility affiliations 6

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": "1525651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1992294730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024941",
            "telephone_number": "717-718-5511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Greenbriar Rd",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174041335",
            "country_code": "US",
            "telephone_number": "717-718-5511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2050 E Market St",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174022844",
            "country_code": "US",
            "telephone_number": "717-718-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VIRAL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-07",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC007263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.