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

Individual provider Cardiovascular Disease Physician · NPI 1265865034

Dr. Gautam Vinod Shah, MD is a Cardiovascular Disease (Cardiology) in Fairview Park, Ohio. Qualified in 2012, 14 years ago. Practices with Wooster Clinic LLC, a 288-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
14
Licensed in
OH
In the registry since
2013
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

20455 Lorain Rd Fl 2
Fairview Park, OH 44126
Phone: (216) 408-1044
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • First Avenue At 16th Street, New York, NY 10003 — (212) 420-2876

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 35.136566 (OH)

Record details

NPI number1265865034
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 15, 2013
Last updated in NPPESJuly 12, 2019

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Wooster Clinic Llc — 288 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairview Park