Darshan S Shah, MD - Medicare Pediatrics in Johnson City, TN

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Darshan S Shah, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Johnson City, Tennessee. His current practice location is 325 N State Of Franklin Rd, Ground Floor, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 439-7320.

Darshan S Shah is licensed to practice in Tennessee (license number 43015) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1659467678.

Contact Information

Darshan S Shah, MD
325 N State Of Franklin Rd, Ground Floor,
Johnson City, TN 37604-6062
(423) 439-7320
(423) 439-7343

Map and Direction




Physician's Profile

Full NameDarshan S Shah
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location325 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1659467678
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5799869251
  • Enrollment ID: I20080222000421

Medical Identifiers

Medical identifiers for Darshan S Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659467678NPI-NPPES
1508860MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 43015 (Tennessee)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Darshan S Shah allows following entities to bill medicare on his behalf.
Entity NameMedical Education Assistance Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235180480
PECOS PAC ID: 3870491269
Enrollment ID: O20040206000795

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darshan S Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Darshan S Shah, MD
Po Box 699,
Mountain Home, TN 37684-0699

Ph: (423) 439-7320		Darshan S Shah, MD
325 N State Of Franklin Rd, Ground Floor,
Johnson City, TN 37604-6062

Ph: (423) 439-7320

Reviews and Comments


Pediatrics Doctors in Johnson City, TN

John William Schweitzer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    
Mrs. Priya Narayanan Jain, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604
Phone: 423-439-7320    
Jodi B Gage, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N. State Of Franklin Road, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Dr. Demetrio Rebano Macariola Jr., MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Karen E Schetzina, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
William Scott Dodd, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343
Ahmad A Wattad, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd, Ground Floor, Johnson City, TN 37604
Phone: 423-439-7320    Fax: 423-439-7343

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.