PRAKASH SHAH MD
NPI 1679753073
Internal Medicine in Hopkinsville, KY

Active since November 14, 2007CLIA 18D0892521 · Waiver
1724 KENTON ST, SUITE 1-D, HOPKINSVILLE, KY 42240(270) 887-9066(270) 887-9199 Get Directions Write a Review

NPPES record last updated: May 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prakash Shah Md NPPES

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

PRAKASH SHAH MD (NPI 1679753073) is a healthcare organization registered as an internal medicine in Hopkinsville, Kentucky and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through September 29, 2026 and lists Prakash N Shah, Physician, as its authorized official.

NPPES Registry Identity

NPI1679753073
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRAKASH SHAH MD
Location Address1724 KENTON ST, SUITE 1-DHopkinsville, KY 42240-1981
Mailing Address1724 Kenton St, Suite 1-dHopkinsville, KY 42240-1981 · (270) 887-9066 · Fax (270) 887-9199
Fax(270) 887-9199
Organization SubpartNo
Authorized OfficialPrakash N ShahPhysician · (270) 887-9066
Enumeration DateNovember 14, 2007
Last NPPES UpdateMay 21, 2015
NPI 1679753073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in KY · 31011
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.
1724 KENTON ST, Hopkinsville, KY 42240

Other Identifiers 6

Medicare PIN7493KY
Other000000050781KY · Anthem
Medicaid64310113KY
Medicare UPINF87352KY
Medicare PIN0749301
Other110090936KY · Medicare Railroad

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D0892521

Prakash Shah · Hopkinsville, KY
Active · expires Sep 29, 2026
CLIA Number18D0892521
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorPrakash N. Shah
Laboratory Phone(502) 887-9066
Laboratory LocationPrakash Shah1724 Kenton Street Doctors Pavilion Suite 1D, Hopkinsville, KY 42240
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

General Acute Care Hospital
1724 KENTON ST
HOPKINSVILLE, KY 42240
Hospitalist
1724 KENTON ST, SUITE 1B
HOPKINSVILLE, KY 42240
Surgery (Plastic and Reconstructive Surgery)
1724 KENTON ST, SUITE 1C
HOPKINSVILLE, KY 42240
Nurse Practitioner
1724 KENTON ST, SUITE 2 A
HOPKINSVILLE, KY 42240
Surgery
1724 KENTON ST, SUITE 1A
HOPKINSVILLE, KY 42240
Specialist
1724 KENTON ST, SUITE 1 C
HOPKINSVILLE, KY 42240
Pharmacist
1724 KENTON ST
HOPKINSVILLE, KY 42240
Pediatrics
1724 KENTON ST, SUITE 2D
HOPKINSVILLE, KY 42240

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 Prakash Shah MD's NPI number?

The NPI number for Prakash Shah MD is 1679753073. It was assigned to this organization in the NPPES registry on November 14, 2007.

Where is Prakash Shah MD located?

Prakash Shah MD is located at 1724 Kenton St Suite 1-D, Hopkinsville, KY 42240. The listed phone number is (270) 887-9066.

What is Prakash Shah MD's specialty?

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

Does Prakash Shah MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D0892521) is associated with this NPI, valid through September 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prakash Shah MD was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.