Dr Kishan Mitesh Shah, MD - Medicare Dermatology in Taos, NM

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Dr Kishan Mitesh Shah, MD is a medicare enrolled "Dermatology" physician in Taos, New Mexico. His current practice location is 1353 Paseo Del Pueblo Sur Ste D, Taos, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 613-8090.

Dr Kishan Mitesh Shah is licensed to practice in New Mexico (license number MD2024-0189) 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 1710449764.

Contact Information

Dr Kishan Mitesh Shah, MD
1353 Paseo Del Pueblo Sur Ste D,
Taos, NM 87571-5958
(575) 613-8090
(575) 613-8091

Map and Direction




Physician's Profile

Full NameDr Kishan Mitesh Shah
GenderMale
SpecialityDermatology
Location1353 Paseo Del Pueblo Sur Ste D, Taos, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710449764
  • Provider Enumeration Date: 04/01/2019
  • Last Update Date: 10/24/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5395088629
  • Enrollment ID: I20231214002191

Medical Identifiers

Medical identifiers for Dr Kishan Mitesh Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710449764NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology DR.0072048 (Colorado)Secondary
207N00000XDermatology MD2024-0189 (New Mexico)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. Dr Kishan Mitesh Shah allows following entities to bill medicare on his behalf.
Entity NameEpiphany Dermatology Of Colorado Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992297469
PECOS PAC ID: 8921354341
Enrollment ID: O20180627001525

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 Kishan Mitesh 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 Kishan Mitesh Shah, MD
7300 Ranch Road 2222, Bldg 1, Ste 200,
Austin, TX 78730

Ph: (512) 628-0465		Dr Kishan Mitesh Shah, MD
1353 Paseo Del Pueblo Sur Ste D,
Taos, NM 87571-5958

Ph: (575) 613-8090

Reviews and Comments


Dermatology Doctors in Taos, NM

Lauren M Good, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1399 Weimer Rd, #600, Taos, NM 87571
Phone: 575-758-9519    
Leslie J Havard, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1353 Paseo Del Pueblo Sur Ste D, Taos, NM 87571
Phone: 575-613-8090    

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.