DHIRAJ M SHAH MD NPI 1558351700

NPI Information

NPI: 1558351700
Provider Name: DHIRAJ M SHAH, MD
Classification: Surgery - 2086S0129X
Specialization: Vascular Surgery
Entity Type: Individual
PECOS Registration: Yes
Address: 391 MYRTLE AVE., SUITE 5
THE VASCULAR GROUP, PLLC
ALBANY, NY
ZIP 12208
Phone: (518) 262-5640

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NPI Details

Dhiraj M Shah, MD is a vascular surgery surgery in Albany, NY. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Dhiraj M Shah, MD NPI is 1558351700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

391 MYRTLE AVE., SUITE 5
THE VASCULAR GROUP, PLLC
ALBANY, NY
ZIP 12208-412
Phone: (518) 262-5640
Fax: (518) 262-9413

The NPI 1558351700 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	119380	NEW YORK	No
2	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery)		119380	NEW YORK	No
3	2086S0129X	Surgery	Vascular Surgery	119380	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00567175	MEDICAID	NEW YORK
2	00N60410	OTHER	NEW YORK	MEDICARE DOWN STATE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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