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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NEIL SHAH
NPI 1417454075
Internal Medicine in North Little Rock, AR

Active since April 10, 2018PECOS Enrolled
3805 MCCAIN PARK DR STE 104, NORTH LITTLE ROCK, AR 72116(501) 414-6753(501) 209-4205 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 8, 2026, Sep 3, 2024, Oct 31, 2023 and 7 more (10 updates tracked since 2018).

About Neil Shah NPPES

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

NEIL SHAH (NPI 1417454075) is an individual internal medicine provider in North Little Rock, Arkansas, licensed in California (A164760) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417454075
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEIL SHAH
Location Address3805 MCCAIN PARK DR STE 104North Little Rock, AR 72116-7813
Mailing Address5158 Clareton Dr Unit 1602Agoura Hills, CA 91376-7086
Phone(501) 414-6753
Fax(501) 209-4205
Sole ProprietorNo
Enumeration DateApril 10, 2018
Last NPPES UpdateJuly 8, 202610 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1417454075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A164760
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedGeneral PracticeTaxonomy 208D00000X · License A164760 (CA), E-14796 (AR)
3805 MCCAIN PARK DR STE 104, North Little Rock, AR 72116
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.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)

Neil Shah 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72116 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$119.36 typical visit price
range $51.36 – $157.74
Typical copayment $29.84 (range $12.84 – $39.43)
Most-billed visit code 99204
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

ANGELA LAVERN CALLOWAY LMSW
Social Worker
3805 MCCAIN PARK DR STE 104
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 414-6753
HEIDI MANATT
Counselor (Mental Health)
3805 MCCAIN PARK DR STE 104
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 416-6753
SANDRA CARROLL
Case Manager/Care Coordinator
3805 MCCAIN PARK DR STE 104
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 414-6753
GAINFUL PRAGMATIC SOLUTIONS
Psychologist (Group Psychotherapy)
3805 MCCAIN PARK DR STE 104
NORTH LITTLE ROCK, AR 72116
Pulaski County (501) 414-6753

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 Neil Shah's NPI number?

The NPI number for Neil Shah is 1417454075. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Neil Shah located?

Neil Shah practices at 3805 Mccain Park Dr Ste 104, North Little Rock, AR 72116. The listed phone number is (501) 414-6753.

What is Neil Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Neil Shah enrolled in Medicare?

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

What insurance does Neil Shah accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Neil Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Neil Shah was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.