VIHAN SHAH DO
NPI 1639910490
Student in an Organized Health Care Education/Training Program in Du Bois, PA

Active since June 05, 2024PECOS Enrolled
145 HOSPITAL AVE STE 315, DU BOIS, PA 15801(814) 503-4305(814) 503-4307 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Jul 11, 2024, Jun 5, 2024 (3 updates tracked since 2024).

About Vihan Shah Do NPPES

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

VIHAN SHAH DO (NPI 1639910490) is an individual student in an organized health care education/training program in Du Bois, Pennsylvania, licensed in Pennsylvania (OT023722) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639910490
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameVIHAN SHAHCredential: DO
Location Address145 HOSPITAL AVE STE 315Du Bois, PA 15801-1465
Mailing Address100 Hospital AveDu Bois, PA 15801-1440 · (814) 375-4200 · Fax (814) 375-4232
Fax(814) 503-4307
Sole ProprietorNo
Enumeration DateJune 5, 2024
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1639910490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
License Licensed in PA · OT023722
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.

Also ListedFamily MedicineTaxonomy 207Q00000X · License OT023722 (PA)
145 HOSPITAL AVE STE 315, Du Bois, PA 15801

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Vihan Shah Do 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.

Family Medicine
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Family Medicine
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Family Medicine
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801
Student in an Organized Health Care Education/Training Program
145 HOSPITAL AVE STE 315
DU BOIS, PA 15801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639910490, enumerated as an "individual" on June 05, 2024.

The provider is located at 145 HOSPITAL AVE STE 315 DU BOIS, PA 15801 and the phone number is (814) 503-4305.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.