SHAN SHAH (MD) – Internal Medicine Physician, NPI 1023535838

SHAN SHAH (MD) is a healthcare provider. based in West memphis, Arkansas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. E-14096 (AR). The NPI Number for SHAN SHAH (MD) is 1023535838

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SHAN SHAH (MD)
NPI
1023535838
Phone
(901) 226-3610
Address
2100 N 7th St
Enumeration Date
23 August 2017
Last Update Date
13 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6627722130
Graduation Year
2013 (13 years ago)
PAC ID
0244654911
Group Practice PAC ID
5193610228
Professional Enrollment ID
I20200728002563
Address ID
MS386714739SO7601XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:8State licenses:3Digital endpointsOther names

1,274 INTERNAL MEDICINE in AR

Provider Addresses for SHAN SHAH (MD)

  • 2100 N 7th St

    West Memphis, AR 723012017

    Phone: (901) 226-3610

    Fax: (901) 226-3612

    Type: Location

  • 6019 Walnut Grove Rd

    Memphis, TN 381202113

    Phone: (901) 226-3610

    Fax: (901) 226-3612

    Type: Location

  • Ridge Lake Boulevard, White Station, Memphis, Shelby County, Tennessee, 38120, United States

    MEMPHIS, TN 381209446

    Phone:

    Fax: (901) 227-8591

    Type: Mailing

  • Baptist Memorial Hospital-DeSoto, 7601, Southcrest Parkway, Southaven Towne Center, Southaven, DeSoto County, Mississippi, 38671, United States

    SOUTHAVEN, MS 386714739

    Phone: (662) 772-2980

    Fax: (662) 772-2960

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200728002392IInternal MedicineTNTBD
I20200728002563IInternal MedicineMSTBD
I20210421001080IInternal MedicineARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes377360$0
99291Critical care, first 30-74 minutes3131$0
View full utilization report →

Insurance plans in this area (ZIP 72301)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5193610228View full group profile
NameSpecialtyState
H E M A T O L O G Y/ O N C O L O G YTN
Internal MedicineTN
N E U R O L O G YCT
Family PracticeMS
Nurse PractitionerGA
Family PracticeGA
Nurse PractitionerMS
Internal MedicineGA
Nurse PractitionerTN
Internal MedicineTN

Reviews

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Frequently asked questions

What is the standard ID for SHAN SHAH (MD) in the U.S.?
In the U.S., SHAN SHAH (MD) is identified by NPI 1023535838.
Does the public listing show SHAN SHAH (MD) as active?
SHAN SHAH (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret SHAN SHAH (MD)'s specialty?
The extract shows Internal Medicine Physician for SHAN SHAH (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHAN SHAH (MD)?
SHAN SHAH (MD) is associated with West Memphis, Arkansas in the same public data insurers reference.
Who maintains SHAN SHAH (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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