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SHIMUL Y SHAH O.D.
NPI 1043254170
Optometrist in Marysville, OH

Active since June 16, 2006PECOS EnrolledAccepts Medicare Assignment
122 N MAIN ST, MARYSVILLE, OH 43040(937) 642-1300(937) 642-0101 Get Directions Write a Review

NPPES record last updated: August 6, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shimul Y Shah O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHIMUL Y SHAH O.D. (NPI 1043254170) is an individual optometrist in Marysville, Ohio, licensed in Ohio (OH5091) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1999).

NPPES Registry Identity

NPI1043254170
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSHIMUL Y SHAHCredential: O.D.
Location Address122 N MAIN STMarysville, OH 43040-1106
Mailing Address122 N Main StMarysville, OH 43040-1106 · (937) 642-1300 · Fax (937) 642-0101
Phone(937) 642-1300
Fax(937) 642-0101
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 1999
Enumeration DateJune 16, 2006
Last NPPES UpdateAugust 6, 2014
✔ NPI 1043254170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OH · OH5091
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
122 N MAIN ST, Marysville, OH 43040
Open in Google Maps ↗

Other Identifiers 6

Medicaid2636099OH
Medicare ID-Type UnspecifiedSH4121281OH
Medicare ID-Type UnspecifiedSH4121283OH
Medicare ID-Type UnspecifiedSH4121282OH
Other1043254170OH · Medicare Individual Ptan H213271
Other1316122724OH · Medicare Group Ptan H213270

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shimul Y Shah O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698677201
PECOS Enrollment IDI20040123000683
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Shimul Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ackerson Eyecare Center, Inc
19 mi
Optometrist
4555 CEMETERY RD
Hilliard, OH 43026
  • Reassigned Medicare billing, Ohio enrollment
  • 6 clinicians in this Medicare group
NPI 1205907953 (614) 876-4044

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHIMUL Y SHAH
Clinic/Center (Health Service)
122 N MAIN ST
MARYSVILLE, OH 43040
Union County (937) 642-1300
THOMAS J SHOEMAKER O.D.
Optometrist
122 N MAIN ST
MARYSVILLE, OH 43040
Union County (934) 642-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shimul Shah's NPI number?

The NPI number for Shimul Shah is 1043254170. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Shimul Shah located?

Shimul Shah practices at 122 N Main St, Marysville, OH 43040. The listed phone number is (937) 642-1300.

What is Shimul Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Shimul Shah enrolled in Medicare?

Yes. Shimul Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Shimul Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shimul Shah reassigns Medicare benefits to Ackerson Eyecare Center, Inc (Hilliard, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shimul Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shimul Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Cross Blue Shield of Wyoming and 13 other insurers list Shimul Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shimul Shah was last updated on August 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.