Siddharth Ashokkumar Shah

M.D. | Pediatric Nephrology | Male

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Complete Profile:

Siddharth Ashokkumar Shah basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Nephrology
Provider Name :	Siddharth Ashokkumar Shah
Credential :	M.D.
Gender :	Male

Business Address:

Siddharth Ashokkumar Shah address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	411 E Chestnut St Louisville, KY, 40202-1713 United States
Phone Number :	502-588-4970
Fax Number :	502-588-7713

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1720213689
NPI Entity Type :	Individual
First Enrolment Date :	21 May, 2009
Last Updated On :	27 Oct, 2020

Medicare Participation:

Siddharth Ashokkumar Shah participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	9931340031
Medicare Enrollment ID :	I20130801000668
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2005
Accepts Medicare?	Yes. Siddharth Ashokkumar Shah accepts medicare insurance.

Group Practice Association:

Siddharth Ashokkumar Shah is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Siddharth Ashokkumar Shah is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Norton Childrens Medical Group Llc	3779917596	109	411 E Chestnut St Louisville, KY - 402021713	Yes
Norton Childrens Medical Group Llc	3779917596	109	231 E Chestnut St Louisville, KY - 402021821	Yes
Norton Childrens Medical Group Llc	3779917596	109	601 S Floyd St Suite 604 Louisville, KY - 402021874 Ph: 5025591670	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Siddharth Ashokkumar Shah are as mentioned. Primary taxonomy code for Siddharth Ashokkumar Shah, M.D. is 2080P0210X (Pediatrics Pediatric Nephrology).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0210X	Pediatrics Pediatric Nephrology	Yes	46307	KY

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 776879 Chicago, IL, 60677-6879 United States
Phone Number :	502-588-9490
Fax Number :	502-272-5116

Business Location:

Patients can refer following map for directions to Siddharth Ashokkumar Shah practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.