MUKUL R SHAH M.D.
NPI 1295704385
Pediatrics - Neonatal-Perinatal Medicine in Louisville, KY

Q: What is Mukul Shah's NPI number?

The NPI number for Mukul Shah is 1295704385. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Q: What is Mukul Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Mukul Shah was last updated on September 13, 2021. 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 March 14, 2006PECOS Enrolled

4123 DUTCHMANS LN STE 606, LOUISVILLE, KY 40207(502) 896-2500(502) 896-2527 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 13, 2021, Jun 1, 2021 (2 updates tracked since 2021).

On this page

About Mukul R Shah M.d. NPPES

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

MUKUL R SHAH M.D. (NPI 1295704385) is an individual neonatal-perinatal medicine provider in Louisville, Kentucky, licensed in Kentucky (33080) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295704385

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameMUKUL R SHAHCredential: M.D.

Location Address4123 DUTCHMANS LN STE 606Louisville, KY 40207-4725

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 272-5395 · Fax (502) 272-5339

Phone(502) 896-2500

Fax(502) 896-2527

Sole ProprietorNo

Enumeration DateMarch 14, 2006

Last NPPES UpdateSeptember 13, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1295704385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in KY · 33080

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

4123 DUTCHMANS LN STE 606, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mukul R Shah M.d. 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 19

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

WESLEY THOMAS APRN

Nurse Practitioner (Neonatal)