BASIL SHAH (MD) – Diagnostic Radiology Physician, NPI 1679684872

BASIL SHAH (MD) is a healthcare provider. based in Gulfport, Mississippi. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 22774 (MS). The NPI Number for BASIL SHAH (MD) is 1679684872

Main info

Male
46 Years Of Experience
Accepts Medicare Assignment
Name
BASIL SHAH (MD)
NPI
1679684872
Phone
(228) 867-5006
Address
PO BOX 1810
Enumeration Date
31 August 2006
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3362746682
Graduation Year
1980 (46 years ago)
PAC ID
4082694955
Group Practice PAC ID
8729074901
Professional Enrollment ID
I20230417000620
Address ID
GA300191209DA959XXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience94
Completeness85
Years active:19State licenses:4Digital endpointsOther names

1,531 DIAGNOSTIC RADIOLOGY in VA

Provider Addresses for BASIL SHAH (MD)

  • PO BOX 1810

    GULFPORT, MS 395021810

    Phone: (228) 867-5006

    Fax: (228) 867-5079

    Type: Mailing

  • 8700 Sudley Rd

    Manassas, VA 201104418

    Phone: (703) 369-8073

    Type: Location

  • MEDICAL CENTER BLVD

    WINSTON SALEM, NC 271570001

    Phone: (336) 716-7243

    Fax: (336) 716-7432

    Type: Mailing

  • 1340 Broad Ave

    Suite 450

    Gulfport, MS 395012404

    Phone: (228) 867-5006

    Fax: (228) 867-5079

    Type: Location

  • 1340, Broad Avenue, Gulfport, Harrison County, Mississippi, 39501, United States

    SUITE 450

    GULFPORT, MS 395012404

    Phone: (228) 867-5006

    Fax: (228) 867-5079

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($28).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2026-01-12

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20040721001320IDiagnostic RadiologyVATBD
I20201222002075IDiagnostic RadiologySCTBD
I20230417000620IDiagnostic RadiologyGATBD
I20241202000982IDiagnostic RadiologyNCTBD
I20260112003308IDiagnostic RadiologyPATBD

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
70450Ct scan head or brain without contrast425400$0
71250Ct scan of chest without contrast170167$0
70551Mri scan of brain without contrast121121$0
71046X-ray of chest, 2 views113113$0
71271Low dose ct scan of chest for lung cancer screening111111$0
View full utilization report →

Insurance plans in this area (ZIP 39502)

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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: 8729074901View full group profile

Reviews

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Frequently asked questions

What identifier follows BASIL SHAH (MD) across health systems?
The NPI 1679684872 uniquely identifies BASIL SHAH (MD) in U.S. healthcare data.
Is BASIL SHAH (MD)'s NPI status active today?
Active status means BASIL SHAH (MD)'s NPI record is not deactivated in the public file.
What type of care does BASIL SHAH (MD) provide?
BASIL SHAH (MD)'s profile centers on Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to BASIL SHAH (MD)?
The directory associates BASIL SHAH (MD) with Gulfport, Mississippi. Check all listed addresses for suites or satellite offices.
Why is information missing for BASIL SHAH (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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