Ketan Shah, MD - Medicare Otolaryngology in Columbia, IL

  1. Home
  2. Otolaryngology
  3. IL
  4. Columbia
Ketan Shah, MD is a medicare enrolled "Otolaryngology" physician in Columbia, Illinois. He went to Rutgers New Jersey Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Midwest Sinus Sleep And Allergy Associates, Llc and his current practice location is 1000 Eleven S, Ste 4f, Columbia, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 628-0715.

Ketan Shah is licensed to practice in Illinois (license number 036-101869) 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 1841306693.

Contact Information

Ketan Shah, MD
1000 Eleven S, Ste 4f,
Columbia, IL 62236-1080
(618) 628-0715
(888) 371-4468

Map and Direction




Physician's Profile

Full NameKetan Shah
GenderMale
SpecialityOtolaryngology
Experience30 Years
Location1000 Eleven S, Columbia, Illinois
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:
  • Ketan Shah attended and graduated from Rutgers New Jersey Medical School in 1994
  NPI Data:
  • NPI Number: 1841306693
  • Provider Enumeration Date: 08/22/2006
  • Last Update Date: 05/18/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2264574359
  • Enrollment ID: I20100128000148

Medical Identifiers

Medical identifiers for Ketan Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1841306693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 036-101869 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial HospitalBelleville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Sinus Sleep And Allergy Associates, Llc18507050969

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. Ketan Shah allows following entities to bill medicare on his behalf.
Entity NameEnt & Sleep Medicine Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376853994
PECOS PAC ID: 3072700483
Enrollment ID: O20101210001059
Entity NameMidwest Sinus Sleep & Allergy Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962000513
PECOS PAC ID: 1850705096
Enrollment ID: O20210128002083

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. Ketan 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
Ketan Shah, MD
1000 Eleven S, Ste 4f,
Columbia, IL 62236-1080

Ph: (618) 628-0715		Ketan Shah, MD
1000 Eleven S, Ste 4f,
Columbia, IL 62236-1080

Ph: (618) 628-0715

Reviews and Comments


Otolaryngology Doctors in Columbia, IL


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.