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

Kevin Atul Shah

Individual provider Neurological Surgery Physician · NPI 1467816983

Kevin Atul Shah is a Neurosurgery in Winston Salem, North Carolina. Graduated from Florida International Univ, College of Medicine in 2016, 10 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina and New York.

Years since qualifying
10
Trained at
Florida International Univ, College of Medicine
Licensed in
NC, NY
In the registry since
2016
Specialties on file
3

Practice location Address checks out

190 Kimel Park Dr Ste 155
Winston Salem, NC 27103-6946
Phone: (336) 765-6637
Fax: (336) 765-6964
Show map & directions

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

Additional practice locations (1)

  • 270 E Main St, Bay Shore, NY 11706-8420 — (631) 591-7470

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 2025-03776 (NC)
Neurological Surgery Physician Taxonomy 207T00000X · Licence PENDING (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1467816983
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolFLORIDA INTERNATIONAL UNIV, COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Winston Salem