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: July 19, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

Clinic/Center (Health Service)
122 N MAIN ST
MARYSVILLE, OH 43040
Optometrist
122 N MAIN ST
MARYSVILLE, OH 43040

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.

What insurance does Shimul Shah accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 1 other insurer 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 with the weekly NPPES data releases published by CMS.