Organization Active NPI

Ashvin K. Shah, M.D., PC

  • Sleep Medicine (Internal Medicine) Physician
  • Yuma, AZ
National Provider Identifier
1992915284
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
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

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Ashvin K Shah, M.D.NPI 1013015270
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)CodeLicenseStatePrimary
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 14383 AZ
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X 36398 AZ
Sleep Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1790976108OtherAZBLANCA E HUERTA, PA PERSONAL NPI
1518016096OtherAZDR LESSER NPI
1013015270OtherAZDR SHAH PERSONAL NPI
637009MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080103000038 AZ Part B Supplier - Clinic/Group Practice 0648350603 Receives reassigned benefits from 5 practitioners
Practice locations: Yuma, AZ

National Provider Directory

National Provider Directory

Locations

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.

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": []
}

Other providers in Yuma, AZ

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.

Verify at the official NPI Registry.