ANKUR SHAH MD, PH.D.
NPI 1548678402
Pediatrics in Clackamas, OR

Active since July 23, 2014Opted out of Medicare · through Jul 8, 2028
8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 97015(503) 659-1694(503) 659-1694 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ankur Shah Md, Ph.d. NPPES

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

ANKUR SHAH MD, PH.D. (NPI 1548678402) is an individual pediatrics provider in Clackamas, Oregon, licensed in Oregon (MD180084) and active in the NPI registry since July 2014. He has opted out of Medicare through July 8, 2028.

NPPES Registry Identity

NPI1548678402
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameANKUR SHAHCredential: MD, PH.D.
Location Address8645 SE SUNNYBROOK BLVD STE 200Clackamas, OR 97015-6841
Mailing Address8645 Se Sunnybrook Blvd Ste 200Clackamas, OR 97015-6841 · (503) 659-1694 · Fax (503) 659-1694
Fax(503) 659-1694
Sole ProprietorNo
Enumeration DateJuly 23, 2014
Last NPPES UpdateFebruary 26, 2018
✔ NPI 1548678402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OR · MD180084
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
8645 SE SUNNYBROOK BLVD STE 200, Clackamas, OR 97015

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Ankur Shah Md, Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 8, 2020 through July 8, 2028.

Opt-Out Effective DateJuly 8, 2020
Opt-Out In Effect ThroughJuly 8, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

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

Nurse Practitioner (Family)
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Counselor (Mental Health)
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Student in an Organized Health Care Education/Training Program
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Physician Assistant
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015
Pediatrics
8645 SE SUNNYBROOK BLVD STE 200
CLACKAMAS, OR 97015

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 Ankur Shah's NPI number?

The NPI number for Ankur Shah is 1548678402. It was assigned to this individual provider in the NPPES registry on July 23, 2014.

Where is Ankur Shah located?

Ankur Shah practices at 8645 SE Sunnybrook Blvd Ste 200, Clackamas, OR 97015. The listed phone number is (503) 659-1694.

What is Ankur Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Ankur Shah enrolled in Medicare?

No. Ankur Shah has opted out of Medicare through July 8, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ankur Shah accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Ankur 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 Ankur Shah was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.