Bushra Shah
Internal Medicine (Geriatric Medicine)

Address: 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405
Phone: 5015524777

Bushra Shah (NPI# 1417910670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1417910670
Entity Type Individual
Full Name Bushra Shah
Credential M.D.
Gender Female
Practice Address 1 Saint Vincent Cir
Suite 210
Little Rock
AR 72205-5405
Practice Telephone 5015524777
Practice Fax Number 5015524570
Mailing Address 1 Saint Vincent Cir
Suite 210
Little Rock
AR 72205-5405
Mailing Telephone 5015524777
Mailing Fax Number 5015524448
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-04-10
Last Update Date 2015-12-21

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RG0300X Internal Medicine · Geriatric Medicine Allopathic & Osteopathic Physicians E-3672 AR

Other Provider Identifier

State Identifier Issuer Type Code
AR 155015001 MEDICAID
AR 4070011000 OTHER QUALCHOICE
AR P00185272 OTHER MEDICARE RAILROAD

Other Providers BUSHRA SHAH

NPI Name Taxonomy Address Enumeration
1912282211 Bushra Mubashshir Shah Psychiatry & Neurology 1250 E Marshall St, Department of Psychiatry, Richmond, VA 23298-5051 2011-10-18

Physician Overview

NPI 1417910670
PAC ID by PECOS 3476537606
Professional Enrollment ID I20040615001861
Full Name Bushra Shah
Gender F
Credential MD
Graduation Year 1995
Primary Specialty GERIATRIC MEDICINE
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
040007 CHI-ST VINCENT INFIRMARY

Office Location

Street Address 1 SAINT VINCENT CIR
SUITE 210
City LITTLE ROCK
State AR
Zip Code 72205-5405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619970027 Frederick Hampton Roy Sr. Specialist 1 Saint Vincent Cir, Ste 360, Little Rock, AR 72205-5405 2005-05-31
1669924817 Danielle Leeper Nurse Practitioner 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 2016-11-03
1629526454 Cindy Mikeal Psychologist 1 Saint Vincent Cir, Suite 260, Little Rock, AR 72205-5405 2016-09-21
1053782383 Lisa Mcneir Psychologist 1 Saint Vincent Cir, Suite 260, Little Rock, AR 72205-5405 2015-10-13
1003251919 Rachael Nichole Daugherty Nurse Practitioner 1 Saint Vincent Cir, Suite 210, Little Rock, AR 72205-5405 2013-05-06
1841575297 Total Care Physician, Inc. Internal Medicine 1 Saint Vincent Cir, Suite 330, Little Rock, AR 72205-5405 2011-10-18
1598081291 Christina A Cobb Dietitian, Registered 1 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5405 2010-04-20
1134363716 Brandon Walser Internal Medicine 1 Saint Vincent Cir, Suite 160, Little Rock, AR 72205-5405 2009-04-27
1659536563 Kevin Girtman Physician Assistant 1 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5405 2008-07-21
1992964209 Trevor Arnett Social Worker 1 Saint Vincent Cir, Ste 210, Little Rock, AR 72205-5405 2008-06-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407336944 Hannah Institute Therapy Speech-Language Pathologist 9701 West Markham, Little Rock, AR 72205 2018-08-15
1457831034 Medical Hearing Associates of Arkansas, LLC Audiologist 3939 South Lookout St, Little Rock, AR 72205 2018-08-14
1730675745 Option Care Enterprises, Inc. Home Infusion 9601 Baptist Health Dr Ste 110, Little Rock, AR 72205 2018-07-03
1568954147 Arkansas Health Group Obstetrics & Gynecology 9601 Baptist Health Dr Ste 250, Little Rock, AR 72205 2018-05-31
1316436694 Erona Reza Student in an Organized Health Care Education/Training Program 4301 West Markham St, University of Arkansas for Medica, Mail Slot- 748, Little Rock, AR 72205 2018-05-02
1336646868 Mikayla Beth Troughton Student in an Organized Health Care Education/Training Program University of Arkansas for Medical Science, 4301 West Markham, Slot 515, Little Rock, AR 72205 2018-04-11
1043716616 David Gregory Hinckley Student in an Organized Health Care Education/Training Program Uams Dept. of Emergency Medicine #584, 4301 W Markham St, Little Rock, AR 72205 2018-04-03
1508362369 Seth Andrew Bartholomew Student in an Organized Health Care Education/Training Program University of Arkansas for Medical Sciences, 4301 W. Markham Slot 584, Little Rock, AR 72205 2018-04-02
1366947384 Brett Davis Shaw Student in an Organized Health Care Education/Training Program 4301 W Markham, Slot 589, Little Rock, AR 72205 2018-03-30
1649775925 Hieu Pham Student in an Organized Health Care Education/Training Program 4301 West Markham St., Slot 602, Attn: Austin, Little Rock, AR 72205 2018-03-28
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992239479 Bushra Shah Md Pllc Internal Medicine 100 Vigne Dr, Little Rock, AR 72223-4581 2017-04-12
1154443372 Kalpana P Padala Internal Medicine 629 Jack Stephens Dr, Little Rock, AR 72205-5525 2007-04-06
1811059363 Paula M. Podrazik Internal Medicine 4301 W. Markham, #783, Little Rock, AR 72205-7101 2006-12-14
1508956079 David Lipschitz Internal Medicine 415 N Mckinley, Suite 130, Little Rock, AR 72205-3013 2006-10-13
1215993787 Evgueni Roudachevski Internal Medicine 11912 Kanis Road, Suite F-2, Little Rock, AR 72211-3733 2006-04-25
1306816087 Thomas Darrell Cain Internal Medicine 10001 Lile Drive, Little Rock, AR 72205-6217 2006-01-25
1720073349 David Dongjie Liu Internal Medicine 1 St Vincent Cir, Suite 210, Little Rock, AR 72205-5405 2005-09-20
1023569852 Evgueni Roudachevski, D.o. Internal Medicine 11912 Kanis Rd, Suite F2, Little Rock, AR 72211-3733 2016-10-17
1083976534 Veronica Alicia Pinto Miranda Internal Medicine 4301 W Markham St, Little Rock, AR 72205 2012-06-11
1114055712 Parkway Health Center Inc. Internal Medicine 14300 Chenal Pkwy, Little Rock, AR 72211-5805 2007-03-02
Find all providers in LITTLE ROCK

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City LITTLE ROCK
Zip Code 72205

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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