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

Dr. Nishit Shah

Individual provider Colon & Rectal Surgery Physician · NPI 1023052537

Dr. Nishit Shah is a General Surgery in Providence, Rhode Island. Qualified in 1989, 37 years ago. Accepts Medicare assignment. Licensed in Rhode Island and Virginia.

Years since qualifying
37
Licensed in
RI, VA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

208 Collyer St Ste 302
Providence, RI 02904-1560
Phone: (401) 553-8322
Fax: (401) 868-2315
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence MD12780 (RI)
Colon & Rectal Surgery Physician Taxonomy 208C00000X · Licence 010123650 (VA)

Record details

NPI number1023052537
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 15, 2006
Last updated in NPPESJanuary 29, 2020
Certification dateJanuary 29, 2020
Mailing addressPo Box 16149, Rumford, RI 02916-0697

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1989 (37 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Providence