PANKAJKUMAR C SHAH M.D.
NPI 1043412356
Internal Medicine in Hopkinsville, KY

Q: What is Pankajkumar Shah's NPI number?

The NPI number for Pankajkumar Shah is 1043412356. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Q: What is Pankajkumar Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Pankajkumar Shah was last updated on December 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment

320 W 18TH ST, HOPKINSVILLE, KY 42240(270) 887-0100(270) 887-0342 Get Directions Write a Review

NPPES record last updated: December 11, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Pankajkumar C Shah M.d. NPPES

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

PANKAJKUMAR C SHAH M.D. (NPI 1043412356) is an individual internal medicine provider in Hopkinsville, Kentucky, licensed in Kentucky (40815) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Jennie Stuart Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1043412356

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePANKAJKUMAR C SHAHCredential: M.D.

Location Address320 W 18TH STHopkinsville, KY 42240-1965

Mailing AddressPo Box 55Hopkinsville, KY 42241-0055 · (270) 887-0100 · Fax (270) 887-0342

Phone(270) 887-0100

Fax(270) 887-0342

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateMay 31, 2007

Last NPPES UpdateDecember 11, 2009

✔ NPI 1043412356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · 40815

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

320 W 18TH ST, Hopkinsville, KY 42240

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Other Identifiers 3

Other000000526170KY · Anthem Bcbs

Medicare PIN0942604KY

Medicaid7100016400KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama 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

Pankajkumar C Shah M.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 ID7214021161

PECOS Enrollment IDI20070922000002, I20260109002188

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 Reassignments

Medicare enrollment records show Pankajkumar Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jennie Stuart Medical Center Inc

Same address

General Acute Care Hospital

320 W 18TH ST
Hopkinsville, KY 42240

Reassigned Medicare billing, Kentucky enrollment
169 clinicians in this Medicare group

NPI 1235139312 (270) 887-0100

Pennyroyal Healthcare Services, Inc

0.4 mi

Federally Qualified Health Center (FQHC)

1102 S VIRGINIA ST STE B
Hopkinsville, KY 42240

Reassigned Medicare billing, Kentucky enrollment
30 clinicians in this Medicare group

NPI 1104532332 (270) 632-3088

Elite Medical Group Of Clarksville PLLC

19 mi

Family Medicine

150 ALFREDO DR STE A
Clarksville, TN 37042

Reassigned Medicare billing, Kentucky and Tennessee enrollments
2 clinicians in this Medicare group

NPI 1861364887 (931) 271-7373

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

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

505 services193 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

203 services191 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

153 services140 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

144 services89 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

71 services64 patients

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

47 services24 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jennie Stuart Medical Center

Acute Care Hospitals · Hopkinsville, KY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180051

Location320 West 18th StreetHopkinsville, KY 42240 · Christian County

Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number180093

Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County

Emergency services Birthing friendly

Trigg County Hospital

Critical Access Hospitals · Cadiz, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181304

Location254 Main StreetCadiz, KY 42211 · Trigg County

Emergency services

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181322

Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County

Emergency services

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN

1/5 CMS rating

OwnershipProprietary

CMS Certification Number440035

Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42240 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers55 claims55 services$16.51 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers57 claims57 services$84.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

ALEXIS SAUNDERS CRNA

Nurse Anesthetist, Certified Registered