1. Home
  2. Directory
  3. Texas
  4. San Antonio
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

VIDUR SHAH DO
NPI 1053114462
Student in an Organized Health Care Education/Training Program in San Antonio, TX

Active since March 31, 2025PECOS Enrolled
4499 MEDICAL DR STE 171, SAN ANTONIO, TX 78229(210) 575-7002 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vidur Shah Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIDUR SHAH DO (NPI 1053114462) is an individual student in an organized health care education/training program in San Antonio, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053114462
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIDUR SHAHCredential: DO
Location Address4499 MEDICAL DR STE 171San Antonio, TX 78229-3789
Mailing Address4499 Medical Dr Ste 171San Antonio, TX 78229-3789
Phone(210) 575-7002
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1053114462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4499 MEDICAL DR STE 171, San Antonio, TX 78229
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vidur Shah Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARITA THANEDAR
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (346) 550-6457
USMAN NAZEER MD
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
SASANKA THUPILI DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 464-7563
SEBASTIAN ECHEGARAY MD
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
VICTORIA REMILEKUN DELANO DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
MIA KANG LETSON DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
DR. RAMONA ALVARADO DO
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002
DR. BRITTANY MARIE HILL MD
Student in an Organized Health Care Education/Training Program
4499 MEDICAL DR STE 171
SAN ANTONIO, TX 78229
Bexar County (210) 575-7002

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vidur Shah's NPI number?

The NPI number for Vidur Shah is 1053114462. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Vidur Shah located?

Vidur Shah practices at 4499 Medical Dr Ste 171, San Antonio, TX 78229. The listed phone number is (210) 575-7002.

What is Vidur Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Vidur Shah enrolled in Medicare?

Yes. Vidur Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vidur Shah was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.