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

Siddharth Ashokkumar Shah, MD

Individual provider Pediatric Nephrology Physician · NPI 1720213689

Siddharth Ashokkumar Shah, MD is a Pediatric Medicine in Louisville, Kentucky. Qualified in 2005, 21 years ago. Practices with Norton Childrens Medical Group LLC, a 232-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
21
Licensed in
KY
In the registry since
2009
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

411 E Chestnut St
Louisville, KY 40202-1713
Phone: (502) 588-4970
Fax: (502) 588-7713
Show map & directions

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

Specialties & licences

Pediatric Nephrology Physician (primary) Taxonomy 2080P0210X · Licence 46307 (KY)

Record details

NPI number1720213689
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 21, 2009
Last updated in NPPESOctober 27, 2020
Certification dateOctober 27, 2020

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Norton Childrens Medical Group Llc — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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