Dr Hirenkumar N Shah, MD - Medicare Internal Medicine in Frederick, MD

Dr Hirenkumar N Shah, MD is a medicare enrolled "Internal Medicine" physician in Frederick, Maryland. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Donelson And Carnell Md Pa, Select Physical Therapy Holdings Inc and his current practice location is 65 Thomas Johnson Dr, Suite C, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 663-3836.

Dr Hirenkumar N Shah is licensed to practice in Maryland (license number D51643) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1093742801.

Contact Information

Dr Hirenkumar N Shah, MD
65 Thomas Johnson Dr, Suite C,
Frederick, MD 21702-4371
(301) 663-3836
(301) 663-0122

Map and Direction




Physician's Profile

Full NameDr Hirenkumar N Shah
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location65 Thomas Johnson Dr, Frederick, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Hirenkumar N Shah graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1093742801
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 11/15/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4082617691
  • Enrollment ID: I20060822000309

Medical Identifiers

Medical identifiers for Dr Hirenkumar N Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093742801NPI-NPPES
K935397WOtherMDMEDICARE ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine D51643 (Maryland)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Frederick Health Hospital, IncFrederick, MDHome health agency
Home Call - FrederickFrederick, MDHome health agency
Amedisys Home HealthWestminster, MDHome health agency
Bayada Home Health Care, IncGaithersburg, MDHome health agency
Hospice Of Frederick CountyFrederick, MDHospice
Frederick Health HospitalFrederick, MDHospital
Homewood At Crumland FarmsFrederick, MDNursing home
Buckingham's ChoiceAdamstown, MDNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Donelson And Carnell Md Pa47897120354
Select Physical Therapy Holdings Inc95370764011557

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. Dr Hirenkumar N Shah allows following entities to bill medicare on his behalf.
Entity NameDonelson & Carnell Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760590111
PECOS PAC ID: 4789712035
Enrollment ID: O20100507000311

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. Dr Hirenkumar N 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
Dr Hirenkumar N Shah, MD
65 Thomas Johnson Dr, Suite C,
Frederick, MD 21702-4371

Ph: (301) 663-3836
Dr Hirenkumar N Shah, MD
65 Thomas Johnson Dr, Suite C,
Frederick, MD 21702-4371

Ph: (301) 663-3836

Reviews and Comments


Internal Medicine Doctors in Frederick, MD

Dr. Patrick Johannes Mansky, M.D.
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Gaffar A Syed, MD
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Dr. Kristin A Conley, DO
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Mr. Lloyd E Halvorson, M.D.
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Dr. Jeffrey Nathan Cowen, M.D.
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Phone: 301-663-5790    Fax: 301-698-6259
Dr. Michael Terry Sullivan, MD
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Medicare: Medicare Enrolled
Practice Location: 22 S Market Street, Frederick, MD 21701
Phone: 301-682-5683    Fax: 301-682-3499
Kellen Mulhern, D.O.
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Medicare: Medicare Enrolled
Practice Location: 7211 Bank Ct Ste 200, Frederick, MD 21703
Phone: 240-215-6310    

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).

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