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MITALI SHAH MD
NPI 1891545984
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since March 25, 2024PECOS Enrolled
395 W 12TH AVE FL 3, COLUMBUS, OH 43210(614) 293-3989(614) 293-9789 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mitali Shah Md NPPES

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

MITALI SHAH MD (NPI 1891545984) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891545984
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMITALI SHAHCredential: MD
Location Address395 W 12TH AVE FL 3Columbus, OH 43210-1267
Mailing Address395 W 12th Ave Fl 3Columbus, OH 43210-1267 · (614) 293-3989 · Fax (614) 293-9789
Phone(614) 293-3989
Fax(614) 293-9789
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 23, 2024
✔ NPI 1891545984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
395 W 12TH AVE FL 3, Columbus, OH 43210
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitali Shah Md 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.

CODY NICHOLAS JUSTICE
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
TANVI BAFNA MD, MPH
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
MR. WILLIAM JOHN PELLEGRINO
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
KAMEL AOUN
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
DR. ANTHONY MANSOUR
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
NICOLE VARDA MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
CLIFFORD WILFRED UKARAJIT
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989
NICOLE DANIELLE HESS MD
Student in an Organized Health Care Education/Training Program
395 W 12TH AVE FL 3
COLUMBUS, OH 43210
Franklin County (614) 293-3989

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 Mitali Shah's NPI number?

The NPI number for Mitali Shah is 1891545984. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Mitali Shah located?

Mitali Shah practices at 395 W 12th Ave Fl 3, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is Mitali 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 Mitali Shah enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Mitali Shah was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.