Active NPI
Ashvin K. Shah, M.D., PC
- Sleep Medicine (Internal Medicine) Physician
- Yuma, AZ
National Provider Identifier
1992915284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Internal Medicine) Physician
- Legal business name
- ASHVIN K. SHAH, M.D., PC
- Practice address
- 2110 W 24TH St
Yuma, AZ 85364-8878 - Phone
- (928) 344-1891
- Fax
- (928) 726-6306
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashvin K Shah, M.D.
- Title
- President
- Phone
- (928) 344-1891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 14383 | AZ | |
| Pulmonary Disease Physician | 207RP1001X | 36398 | AZ | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | Primary |
Addresses
Primary practice location
2110 W 24TH St
Yuma, AZ 85364-8878
Mailing address
2110 W 24TH St
Yuma, AZ 85364-8878
Phone (928) 344-1891
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790976108 | Other | AZ | BLANCA E HUERTA, PA PERSONAL NPI |
| 1518016096 | Other | AZ | DR LESSER NPI |
| 1013015270 | Other | AZ | DR SHAH PERSONAL NPI |
| 637009 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2110 W 24th St
Yuma, AZ 85364
Phone (928) 344-1891
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sleep Medicine (Internal Medicine) Physician
- Yuma, AZ
- NPI 1013015270
Pulmonary Disease
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1790976108
-
- Family Nurse Practitioner
- San Luis, AZ
- NPI 1356894240
-
- Family Nurse Practitioner
- Yuma, AZ
- NPI 1821865171
-
- Dentist
- Oro Valley, AZ
- NPI 1366495087
-
- Certified Registered Nurse Anesthetist
- Louisville, KY
- NPI 1881760676
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564617600000",
"number": "1992915284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2110 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648878",
"telephone_number": "928-344-1891",
"fax_number": "928-726-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 W 24TH ST",
"city": "YUMA",
"state": "AZ",
"postal_code": "853648878",
"telephone_number": "928-344-1891",
"fax_number": "928-726-6306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHVIN K. SHAH, M.D., PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2019-08-01",
"status": "A",
"authorized_official_last_name": "SHAH",
"authorized_official_first_name": "ASHVIN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "928-344-1891",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "14383",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "AZ",
"license": "36398",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLANCA E HUERTA, PA PERSONAL NPI",
"identifier": "1790976108",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR LESSER NPI",
"identifier": "1518016096",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR SHAH PERSONAL NPI",
"identifier": "1013015270",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "637009",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.