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

Riddhi Jay Shah, DO

Individual provider Surgical Physician Assistant · NPI 1568504397

Riddhi Jay Shah, DO is a Dermatology in Saint Joseph, Michigan. Qualified in 2012, 14 years ago. Practices with Prosperity Medical, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Maryland, Michigan, New York and Ohio.

Years since qualifying
14
Licensed in
MD, MI, NY, OH
In the registry since
2007
Specialties on file
4
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.

See every abbreviation used in this directory →

Practice location Address checks out

3901 Stonegate Park Ste 300
Saint Joseph, MI 49085-9137
Phone: (269) 408-4265
Fax: (269) 556-6020
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5101020760 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 011440 (NY)
Physician Assistant Taxonomy 363A00000X · Licence C0003431 (MD)
General Practice Physician Taxonomy 208D00000X · Licence 58.004442 (OH)

Record details

NPI number1568504397
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESAugust 19, 2016
Mailing address3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Prosperity Medical, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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