DR. MEHUL JITENDRA SHAH (NPI# 1730155896) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730155896 |
| Entity Type | Individual |
| Full Name | DR. MEHUL JITENDRA SHAH |
| Credential | DPM |
| Practice Address |
224a Cornwall St Nw Loudoun Community Health Center Leesburg VA 20176-2701 |
| Mailing Address |
Po Box 616 Ashburn VA 20146-0616 |
| Practice Telephone | 7034432120 |
| Practice Fax Number | 7034432033 |
| Mailing Telephone | 7034432120 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2012-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213EP1101X |
Podiatrist Specialization: Primary Podiatric Medicine |
0103300893 | VA | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
0103300893 | VA | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
0103300893 | VA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | CAREFIRST BC/BS | J4630001 | 01 |
| VA | CIGNA | 3854800 | 01 |
| VA | AETNA | 7980784 | 01 |
| VA | ANTHEM BC/BS | 350392 | 01 |
| VA | GROUP NPI | 1841465291 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488218 | Mehul Shah | Physician Assistant | 75 Smith Ave, Bay Shore, NY 11706-7380 | 2019-10-11 |
| 1154640894 | Mehul Shah | Pharmacist | 750 Hilltop North Shopping Ctr, Virginia Beach, VA 23451-6198 | 2010-05-20 |
| 1174529101 | Mehul N Shah | Internal Medicine | 170 N Henderson Rd, Ste 302, King of Prussia, PA 19406-2155 | 2005-06-23 |
| 1902454374 | Mehul Shah | Pharmacist | 11402 Jamaica Ave, Richmond Hill, NY 11418-2442 | 2019-08-29 |
| 1760856041 | Mehul Shah | Dentist | 72 Paoli Pike, Paoli, PA 19301-1831 | 2015-11-24 |
| 1184036378 | Mehul Shah | Internal Medicine | 700 E Marshall Ave, Longview, TX 75601-5580 | 2014-05-22 |
| 1447577028 | Mehul D. Shah | Pain Medicine | 3799 Route 46, Suite 211, Parsippany, NJ 07054-1055 | 2010-04-22 |
| 1851583819 | Mehul R Shah | Orthopaedic Surgery | 761 Merrick Ave, Westbury, NY 11590-6608 | 2007-08-14 |
| 1427119247 | Mehul N Shah | Internal Medicine | 116 Millburn Ave, Suite 214, Millburn, NJ 07041 | 2006-12-13 |
| 1326129214 | Mehul B Shah | Internal Medicine | 1111 7th Ave N, #107, Saint Petersburg, FL 33705-1348 | 2006-10-18 |
| Street Address |
224A CORNWALL ST NW LOUDOUN COMMUNITY HEALTH CENTER |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-2701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841465291 | Dulles Foot Ankle Institute, Plc | Podiatrist | 224a Cornwall St Nw, Loudoun Community Health Center, Leesburg, VA 20176-2701 | 2008-04-28 |
| 1821030172 | Sanderijn Irene Batelaan | Counselor | 224a Cornwall St Nw, 301, Leesburg, VA 20176-2701 | 2006-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457548364 | Nicholas Przystawski | Podiatrist | 913 E North Blvd, Ste B, Leesburg, FL 34748-5364 | 2007-09-25 |
| 1144360058 | Podiatric Care of Northern Virginia, PC | Podiatrist | 821 S King St Ste I, Leesburg, VA 20175-3922 | 2007-02-08 |
| 1841465291 | Dulles Foot Ankle Institute, Plc | Podiatrist | 224a Cornwall St Nw, Loudoun Community Health Center, Leesburg, VA 20176-2701 | 2008-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528666971 | Virtual Foot and Ankle Care, LLC | Podiatrist | 5970 Derwent Rd, Powhatan, VA 23139-4620 | 2020-10-16 |
| 1891137048 | Tidewater Foot Center LLC | Podiatrist | 126 Monarch Dr, Newport News, VA 23602-6884 | 2013-07-29 |
| 1346540515 | All American Podiatry and Wound Care, P.C. | Podiatrist | 4620 Bunker Hill Ln, Virginia Beach, VA 23462-2245 | 2010-10-22 |
| 1740411925 | Srikanth Mahavadi | Podiatrist | 9050 Pocahontas Trail, Suite F, Providence Forge, VA 23140 | 2009-08-05 |
| 1942326137 | Rosemary Cecile O'grady | Podiatrist | 1942 William St, Fredericksburg, VA 22401-5128 | 2007-03-21 |
| 1477638526 | Jerald A. Kriger | Podiatrist | 8605 Sudley Rd, Manassas, VA 20110-4583 | 2006-10-26 |
| 1275623043 | Virginia Footcare Center, LLC | Podiatrist | 2848 Jefferson Davis Hwy, Suite 114, Stafford, VA 22554-1767 | 2006-10-13 |
| 1265538979 | Paul Thomas Spada | Podiatrist | 533 Rodney Ln, Virginia Beach, VA 23464-2227 | 2006-09-16 |
| 1538279260 | Hampton Roads Podiatry PC | Podiatrist | 5241 Princess Anne Road Suite 102, Va Beach, VA 23462 | 2006-08-30 |
| 1326152976 | Mukesh D. Bhakta | Podiatrist | 7430 Heritage Village Plz Unit 101, Gainesville, VA 20155-3089 | 2006-08-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. MEHUL JITENDRA SHAH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.