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

Syed Sheheryar Ahmed Shah, MD

Individual provider Internal Medicine Physician · NPI 1174019905

Syed Sheheryar Ahmed Shah, MD is a Nephrology in Pine Bluff, Arkansas. Qualified in 2016, 10 years ago. Practices with Jefferson Hospital Association, Inc, a 79-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Arkansas, Missouri and Oklahoma.

Years since qualifying
10
Licensed in
AR, MO, OK
In the registry since
2018
Specialties on file
3
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

1420 W 43rd Ave Ste A
Pine Bluff, AR 71603-7010
Phone: (870) 541-6020
Fax: (870) 541-6021
Show map & directions

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

Additional practice locations (2)

  • 1008 Spring Avenue, Slucare Academic Pavilion, St Louis, MO 63110 — (314) 977-2650
  • 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 — (405) 271-5963

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence E-16280 (AR)
Internal Medicine Physician Taxonomy 207R00000X · Licence 33819 (OK)
Nephrology Physician Taxonomy 207RN0300X · Licence 2021011606 (MO)

Record details

NPI number1174019905
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2018
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Jefferson Hospital Association, Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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