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

Dr. Lisa Jitendra Shah, DO

Individual provider Family Medicine Physician · NPI 1336282953

Dr. Lisa Jitendra Shah, DO is a Family Practice in Philadelphia, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2002, 24 years ago. Practices with City of Philadelphia, a 87-clinician group and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
24
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
NY, PA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

321 W Girard Ave
Philadelphia, PA 19123-1531
Phone: (215) 685-3808
Fax: (215) 685-3848
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 231392 (NY)
Adult Medicine Physician Taxonomy 207QA0505X · Licence OS014477 (PA)

Record details

NPI number1336282953
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 14, 2007
Last updated in NPPESJanuary 30, 2012

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2002 (24 years in practice)
Group practice City Of Philadelphia — 87 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Philadelphia