SYED ADIL MIR SHAH M.D
NPI 1700672847
Student in an Organized Health Care Education/Training Program in Baltimore/townson, MD

Active since April 16, 2025PECOS Enrolled
6701 NORTH CHARLES STREET, GREAT BALTIMORE MEDICAL CENT, PPE SUITE 203, BALTIMORE/TOWNSON, MD 21204(443) 849-2688(443) 849-8138 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Syed Adil Mir Shah M.d NPPES

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

SYED ADIL MIR SHAH M.D (NPI 1700672847) is an individual student in an organized health care education/training program in Baltimore/townson, Maryland and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700672847
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSYED ADIL MIR SHAHCredential: M.D
Location Address6701 NORTH CHARLES STREET, GREAT BALTIMORE MEDICAL CENT, PPE SUITE 203Baltimore/townson, MD 21204
Mailing Address6701 North Charles Street, Great Baltimore Medical Cent, Ppe Suite 203Baltimore/townson, MD 21204 · (443) 849-2688 · Fax (443) 849-8138
Fax(443) 849-8138
Sole ProprietorNo
Enumeration DateApril 16, 2025
Last NPPES UpdateAugust 6, 2025
NPI 1700672847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
6701 NORTH CHARLES STREET, GREAT BALTIMORE MEDICAL CENT, Baltimore/townson, MD 21204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Syed Adil Mir 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.

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 Syed Adil Mir Shah's NPI number?

The NPI number for Syed Adil Mir Shah is 1700672847. It was assigned to this individual provider in the NPPES registry on April 16, 2025.

Where is Syed Adil Mir Shah located?

Syed Adil Mir Shah practices at 6701 North Charles Street, Great Baltimore Medical Cent Ppe Suite 203, Baltimore/Townson, MD 21204. The listed phone number is (443) 849-2688.

What is Syed Adil Mir Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Syed Adil Mir Shah enrolled in Medicare?

Yes. Syed Adil Mir Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Syed Adil Mir Shah was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.