Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Basil Shah, MD

Individual provider Neurological Surgery Physician · NPI 1679684872

Basil Shah, MD is a Diagnostic Radiology in Winston Salem, North Carolina. Qualified in 1980, 46 years ago. Practices with Northside Radiology Associates LLC, a 384-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan, Mississippi, North Carolina and Virginia.

Years since qualifying
46
Licensed in
MI, MS, NC, VA
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Medical Center Blvd
Winston Salem, NC 27157-0001
Phone: (336) 716-7243
Fax: (367) 167-4323
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1340 Broad Ave, Gulfport, MS 39501-2404 — (228) 867-5006
  • 8700 Sudley Rd, Manassas, VA 20110-4418 — (703) 369-8073

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 0101269688 (VA)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 22774 (MS)
Specialist Taxonomy 174400000X · Licence 4301077845 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 2020-02857 (NC)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 22774 (MS)

Record details

NPI number1679684872
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 31, 2006
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice Northside Radiology Associates Llc — 384 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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