Dr Ketan K Shah, MD, MBA - Medicare Gastroenterology in Orange, CA

Dr Ketan K Shah, MD, MBA is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Orange, California. He went to Duke University School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Saddleback Medical Group Inc and his current practice location is 1100 W Town And Country Rd Ste 1250, Orange, California. You can reach out to his office (for appointments etc.) via phone at (949) 744-5441.

Dr Ketan K Shah is licensed to practice in California (license number A120437) 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 1629244652.

Contact Information

Dr Ketan K Shah, MD, MBA
1100 W Town And Country Rd Ste 1250,
Orange, CA 92868-4633
(949) 744-5441
(949) 266-1661

Map and Direction




Physician's Profile

Full NameDr Ketan K Shah
GenderMale
SpecialityGastroenterology
Experience12 Years
Location1100 W Town And Country Rd Ste 1250, Orange, California
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 Ketan K Shah attended and graduated from Duke University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1629244652
  • Provider Enumeration Date: 04/30/2008
  • Last Update Date: 02/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274847272
  • Enrollment ID: I20150804006312

Medical Identifiers

Medical identifiers for Dr Ketan K Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629244652NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A120437 (California)Secondary
207RG0100XInternal Medicine - Gastroenterology A120437 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorialcare Saddleback Medical CenterLaguna hills, CAHospital
St Joseph's Medical Center Of StocktonStockton, CAHospital

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 Ketan K Shah allows following entities to bill medicare on his behalf.
Entity NameDignity Health Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700803418
PECOS PAC ID: 7810800661
Enrollment ID: O20031107000709
Entity NameSaddleback Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386605822
PECOS PAC ID: 5092606905
Enrollment ID: O20040322000770
Entity NameKetan Shah Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952179350
PECOS PAC ID: 0042653974
Enrollment ID: O20240208000305

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 Ketan K 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 Ketan K Shah, MD, MBA
1100 W Town And Country Rd Ste 1250,
Orange, CA 92868-4633

Ph: (949) 744-5441
Dr Ketan K Shah, MD, MBA
1100 W Town And Country Rd Ste 1250,
Orange, CA 92868-4633

Ph: (949) 744-5441

Reviews and Comments


Internal Medicine Doctors in Orange, CA

Michael Cheng, DO
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Dr. Antonio Halais Frangieh, MD, MPH
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Mark E Wylam, M.D.
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Dr. Andy Yen-tang Lee, MD
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Practice Location: 101 The City Dr S, Orange, CA 92868
Phone: 714-456-7890    

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.

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