Look up the most recent NPI and PECOS records

Neepa Rajnikant Shah

Internal Medicine

Allopathic & Osteopathic Physicians

4001 W 15th St Ste 245, Plano, TX 75093-5839

PECOS Enrollment

This provider is enrolled in PECOS as NEEPA SHAH.

Based on the most recent information from CMS, provider Neepa Rajnikant Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1316934862
Provider Type
Individual
Full Name
Shah, Neepa Rajnikant
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
9/30/2005
Last Updated
11/9/2021

Contact Information

Practice Location

4001 W 15th St Ste 245, Plano, TX 75093-5839

(972) 596-5222

(972) 596-5291

Mailing Location

4001 W 15th St Ste 245, Plano, TX 75093-5839

(972) 596-5222

(972) 596-5291

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License P4109 Texas
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License 34040 Arizona

Provider Identifiers

ID	Description	Issuer
ID 320202001	Description Medicaid	Issuer Unlisted Texas

Neepa Rajnikant Shah

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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