Ketankumar Shah, MD - Medicare Internal Medicine in Edison, NJ

Ketankumar Shah, MD is a medicare enrolled "Internal Medicine" physician in Edison, New Jersey. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice The William W Backus Hospital and his current practice location is 608 Cinder Rd, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at (732) 429-5499.

Ketankumar Shah is licensed to practice in Connecticut (license number 054281) 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 1659761948.

Contact Information

Ketankumar Shah, MD
608 Cinder Rd,
Edison, NJ 08820-3373
(732) 429-5499
Not Available

Map and Direction




Physician's Profile

Full NameKetankumar Shah
GenderMale
SpecialityInternal Medicine
Experience14 Years
Location608 Cinder Rd, Edison, New Jersey
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:
  • Ketankumar Shah graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1659761948
  • Provider Enumeration Date: 01/26/2015
  • Last Update Date: 09/01/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7113235011
  • Enrollment ID: I20150925001565

Medical Identifiers

Medical identifiers for Ketankumar Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659761948NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 054281 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hartford Healthcare At HomeBloomfield, CTHospice
William W Backus HospitalNorwich, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The William W Backus Hospital0749170645175

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. Ketankumar Shah allows following entities to bill medicare on his behalf.
Entity NameBristol Hospital Multi-specialty Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649265679
PECOS PAC ID: 9032014758
Enrollment ID: O20031204000960
Entity NameWindham Community Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231
Entity NameMidstate Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154425288
PECOS PAC ID: 7416840699
Enrollment ID: O20040203000244
Entity NameThe William W Backus Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739
Entity NameSt. Vincent's Multispecialty Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043544489
PECOS PAC ID: 6204977218
Enrollment ID: O20100112000538

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. Ketankumar 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
Ketankumar Shah, MD
608 Cinder Rd,
Edison, NJ 08820-3373

Ph: (732) 429-5499
Ketankumar Shah, MD
608 Cinder Rd,
Edison, NJ 08820-3373

Ph: (732) 429-5499

Reviews and Comments


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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.