KETKI S SHAH M.D.
NPI 1053406959
Psychiatry & Neurology - Psychiatry in Bronx, NY

Q: What is Ketki Shah's NPI number?

The NPI number for Ketki Shah is 1053406959. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Q: What is Ketki Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Ketki Shah was last updated on August 15, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 04, 2006PECOS Enrolled

1276 FULTON AVE, BRONX, NY 10456(718) 901-8445(718) 901-6490 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Ketki S Shah M.d. NPPES

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

KETKI S SHAH M.D. (NPI 1053406959) is an individual psychiatry provider in Bronx, New York, licensed in New York (173995) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053406959

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameKETKI S SHAHCredential: M.D.

Location Address1276 FULTON AVEBronx, NY 10456-3402

Mailing Address591 Mill RunParamus, NJ 07652-1754 · (201) 612-7732 · Fax (201) 612-3692

Phone(718) 901-8445

Fax(718) 901-6490

Sole ProprietorNo

Enumeration DateOctober 4, 2006

Last NPPES UpdateAugust 15, 2014

✔ NPI 1053406959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NY · 173995

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

1276 FULTON AVE, Bronx, NY 10456

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified47H542

Medicare UPINF52334NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketki S Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 10456 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

$203.53 typical visit price

range $67.40 – $203.53

Typical copayment $50.88 (range $16.85 – $50.88)

Most-billed visit code 99205

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

Leave this field empty