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

Dr. Nirav H. Shah, MD

Individual provider Neurology Physician · NPI 1710277918

Dr. Nirav H. Shah, MD is a Neurology in Memphis, Tennessee. Graduated from Indiana University School of Medicine in 2011, 15 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Arkansas, California, Mississippi and Tennessee and 1 more.

Years since qualifying
15
Trained at
Indiana University School of Medicine
Licensed in
AR, CA, MS, TN, WA
In the registry since
2011
Specialties on file
5
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

1779 Kirby Pkwy # 18009
Memphis, TN 38138-3666
Phone: (833) 497-3786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 26800 Crown Valley Pkwy Ste 385, Mission Viejo, CA 92691-7320 — (949) 542-8002
  • 7601 Southcrest Pkwy, Southaven, MS 38671-4739 — (662) 772-4000
  • 500 17th Ave, Seattle, WA 98122-5711 — (812) 490-9055

Specialties & licences

Vascular Neurology Physician (primary) Taxonomy 2084V0102X · Licence 60672774 (WA)
Neurology Physician Taxonomy 2084N0400X · Licence A134729 (CA)
Neurology Physician Taxonomy 2084N0400X · Licence E-11830 (AR)
Neurology Physician Taxonomy 2084N0400X · Licence 58571 (TN)
Neurology Physician Taxonomy 2084N0400X · Licence 27179 (MS)

Record details

NPI number1710277918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 9, 2011
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing addressPo Box 13308, Mesa, AZ 85216-3308

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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