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

Individual provider Internal Medicine Physician · NPI 1629047212

Dr. Anil Shah, MD is an Internal Medicine in Tualatin, Oregon. Qualified in 1987, 39 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
39
Licensed in
OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-2439
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD25450 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD25450 (OR)

Record details

NPI number1629047212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 16, 2006
Last updated in NPPESJuly 16, 2007
Mailing address19300 Sw 65th Ave, Tualatin, OR 97062-7706

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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