DR. JAY DIPESH SHAH MD
NPI 1124760764
Student in an Organized Health Care Education/Training Program in Houston, TX
About Dr. Jay Dipesh Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JAY DIPESH SHAH MD (NPI 1124760764) is an individual student in an organized health care education/training program in Houston, Texas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baltimore.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jay Dipesh Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
HOUSTON, TX 77030
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 Jay Shah's NPI number?
The NPI number for Jay Shah is 1124760764. It was assigned to this individual provider in the NPPES registry on April 13, 2022.
Where is Jay Shah located?
Jay Shah practices at One Baylor Plaza, Houston, TX 77030. The listed phone number is (510) 574-5648.
What is Jay 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 Jay Shah enrolled in Medicare?
Yes. Jay Shah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jay Shah was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Jay Dipesh Shah, MD · NPI 1124760764
Student in an Organized Health Care Education/Training Program provider in Houston, Texas. Individual provider, active in the CMS NPPES registry since April 13, 2022.
## Identity
- **NPI:** 1124760764 (Entity type: Individual)
- **Enumerated:** April 13, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** ONE BAYLOR PLAZA, Houston, TX 77030
- **Phone:** (510) 574-5648
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124760764) · Data from the CMS NPPES public registry.