DR. SUMIT KAMLESHKUMAR SHAH MD, MPH
NPI 1124761234
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Q: What is Sumit Shah's NPI number?

The NPI number for Sumit Shah is 1124761234. It was assigned to this individual provider in the NPPES registry on April 16, 2022.

Q: What is Sumit Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sumit Shah was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.

Active since April 16, 2022PECOS Enrolled

4301 W MARKHAM ST # 517, LITTLE ROCK, AR 72205(501) 603-1508(501) 686-5874 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 27, 2022, Apr 16, 2022 (2 updates tracked since 2022).

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About Dr. Sumit Kamleshkumar Shah Md, Mph NPPES

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

DR. SUMIT KAMLESHKUMAR SHAH MD, MPH (NPI 1124761234) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1124761234

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SUMIT KAMLESHKUMAR SHAHCredential: MD, MPH

Location Address4301 W MARKHAM ST # 517Little Rock, AR 72205-7101

Mailing Address3421 N Cypress StNorth Little Rock, AR 72116-8701 · (501) 319-5650

Phone(501) 603-1508

Fax(501) 686-5874

Sole ProprietorYes

Enumeration DateApril 16, 2022

Last NPPES UpdateApril 27, 20222 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1124761234 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.

4301 W MARKHAM ST # 517, Little Rock, AR 72205

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Secondary Practice Location 1

Location 11 Childrens Way # 512-19ALittle Rock, AR 72202-3500 · Phone (501) 364-1874

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. Sumit Kamleshkumar Shah Md, Mph 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.

DR. NATHAN EDWARD LEE M.D.

Pathology (Anatomic Pathology & Clinical Pathology)