DR. NIRAL A SHAH MD
NPI 1053563072
Surgery - Surgical Critical Care in Sayre, PA
About Dr. Niral A Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIRAL A SHAH MD (NPI 1053563072) is an individual surgical critical care provider in Sayre, Pennsylvania, licensed in Pennsylvania (MD444490) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Phoebe Putney Memorial Hospital, and is a graduate of State University Of Ny Upstate Medical University (2004).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted 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
Dr. Niral A Shah Md 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.
Medicare Billing Reassignments
9Medicare enrollment records show Niral Shah reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sayre, PA 18840
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Guthrie Medical Group PC
- 830 clinicians in this Medicare group
Altoona, PA 16601
- Reassigned Medicare billing, Pennsylvania enrollment
- 291 clinicians in this Medicare group
Altoona, PA 16602
- Reassigned Medicare billing, Pennsylvania enrollment
- 338 clinicians in this Medicare group
Salisbury, NC 28147
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 clinicians in this Medicare group
Elizabethtown, KY 42701
- Reassigned Medicare billing, Kentucky enrollment
- 967 clinicians in this Medicare group
Aiken, SC 29801
- Reassigned Medicare billing, South Carolina enrollment
- 21 clinicians in this Medicare group
Bamberg, SC 29003
- Reassigned Medicare billing, South Carolina enrollment
- 2,389 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Fitzgerald, GA 31750
- Reassigned Medicare billing, Georgia enrollment
- Medicare enrollment name: Phoebe Physician Group Inc
- 1,118 clinicians in this Medicare group
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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Phoebe Putney Memorial Hospital
Acute Care Hospitals · Albany, GABaptist Health Paducah
Acute Care Hospitals · Paducah, KYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAYRE, PA 18840
SAYRE, PA 18840
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 Niral Shah's NPI number?
The NPI number for Niral Shah is 1053563072. It was assigned to this individual provider in the NPPES registry on October 22, 2008.
Where is Niral Shah located?
Niral Shah practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 887-2854.
What is Niral Shah's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is Niral Shah enrolled in Medicare?
Yes. Niral 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 organizations bill Medicare for Niral Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niral Shah reassigns Medicare benefits to 9 organizations: Guthrie Medical Group, P.C. (Sayre, PA), Upmc Altoona (Altoona, PA), Upmc Altoona Regional Health Services, Inc (Altoona, PA), Carolinas Physicians Network Inc (Salisbury, NC), Baptist Health Medical Group Inc (Elizabethtown, KY) and 4 more organizations, listed in the Medicare section above. Each 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 Niral Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niral Shah accept?
Health plans from Molina Healthcare, Oscar Health and Oscar Insurance Company list Niral 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.
Is Niral Shah affiliated with any hospitals?
According to CMS data, Niral Shah is affiliated with Phoebe Putney Memorial Hospital and Baptist Health Paducah.
When was this NPI record last updated?
The NPPES record for Niral Shah was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Niral A Shah, MD · NPI 1053563072
Surgical Critical Care physician in Sayre, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 22, 2008.
## Identity
- **NPI:** 1053563072 (Entity type: Individual)
- **Enumerated:** October 22, 2008
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** MD444490 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 GUTHRIE SQ, Sayre, PA 18840-1625
- **Phone:** (570) 887-2854 · **Fax:** (570) 887-2338
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 9 organizations under Medicare reassignment (form CMS-855R): Guthrie Medical Group, P.C. (NPI 1053363408, Sayre, PA); Upmc Altoona (NPI 1497831655, Altoona, PA); Upmc Altoona Regional Health Services, Inc (NPI 1396724217, Altoona, PA); Carolinas Physicians Network Inc (NPI 1477814622, Salisbury, NC); Baptist Health Medical Group Inc (NPI 1093338527, Elizabethtown, KY); and 4 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** State University Of Ny Upstate Medical University, class of 2004
## Record status
- **NPPES last updated:** January 6, 2017
- **Other identifiers:** Medicare PIN A400146981 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1053563072) · Data from the CMS NPPES public registry.