Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1144229584 Deactivated / Inactive NPI Male Practitioner

Dr. Shailesh J. Shah , MD

Pediatrics • Dracut, MA

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Shailesh Shah has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 19, 2005
NPI Deactivation Date March 20, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Shailesh Shah, MD was a registered Pediatrics practicing in Dracut, MA. Throughout an active medical career spanning 1 years, Dr. Shah provided care at the practice location at 1385 LAKEVIEW AVE until profile deactivation on 2006-03-20.

Practice Location & Contact Primary Location

Practice Address

1385 Lakeview Ave

Dracut, MA 018263414

Telephone 9789576675
Fax 9789575887

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dracut, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Dracut, MA (2760 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MA 58096

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3024491 (MA)
Commercial Insurance / Payer ID Network Health
981952 (MA)
Commercial Insurance / Payer ID Harvard Pilgrim
20432 (MA)
Commercial Insurance / Payer ID Cigna
B11056101 (MA)
Commercial Insurance / Payer ID Blue Cross Blue Shield Ma
J06526 (MA)
Commercial Insurance / Payer ID Fallon
11258 (MA)
Commercial Insurance / Payer ID Aetna
4041104 (MA)
Commercial Insurance / Payer ID Tufts Health Plan
058096 (MA)
Commercial Insurance / Payer ID United Healthcare
12-01159 (MA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Maureen Cummings , PNP

Nurse Practitioner - Pediatrics

NPI 1659500734

Pediatric Nurse Practitioner

Tara Forrest , CPNP

Nurse Practitioner - Pediatrics

NPI 1922086701

Certified Pediatric Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 21, 2011

Registered at 1385 LAKEVIEW AVE, DRACUT, MA 018263414 (Tel: 9789576675)

📍
Updated Business Mailing Address July 21, 2011

Registered at 1385 LAKEVIEW AVE, DRACUT, MA 018263414 (Tel: 9789576675)

👤
Provider Name / Credentials Updated July 21, 2011

Recorded as SHAILESH SHAH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2011

Pediatrics (License #58096 in MA)

🔄
NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

⚠️
NPI Profile Deactivated March 20, 2006

Record deactivated on March 20, 2006

🟢
Initial NPI Registration & Enumeration July 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Shailesh Shah. Be the first to share your experience!

Sign in to leave a review for Dr. Shailesh Shah

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1144229584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 19, 2005
Last Update: July 21, 2011
Deactivation Date: March 20, 2006
Sole Proprietor: Yes

Mailing Address

1385 Lakeview Ave

Dracut, MA 018263414

Phone: 9789576675

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.