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DR. NIRAL A SHAH MD
NPI 1053563072
Surgery - Surgical Critical Care in Sayre, PA

Active since October 22, 2008PECOS EnrolledAccepts Medicare Assignment
1 GUTHRIE SQ, SAYRE, PA 18840(570) 887-2854(570) 887-2338 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1053563072
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. NIRAL A SHAHCredential: MD
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Phone(570) 887-2854
Fax(570) 887-2338
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2004
Enumeration DateOctober 22, 2008
Last NPPES UpdateJanuary 6, 2017
✔ NPI 1053563072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
Licenses✔ Licensed in PA · MD444490✔ Licensed in NY · 283719
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedSurgeryTaxonomy 208600000X · License 283719 (NY), MD444490 (PA), 249696 (MA), 245798 (MA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TMBPIT#BP10032299 (TX)
1 GUTHRIE SQ, Sayre, PA 18840
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Other Identifiers 1

Medicare PINA400146981NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Insurance Company.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

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.

PECOS PAC ID9537328869
PECOS Enrollment IDI20211203000723
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.

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services31 patients

Hospital Affiliations CMS Care Compare

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

Phoebe Putney Memorial Hospital

Acute Care Hospitals · Albany, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110007
Location417 Third AvenueAlbany, GA 31703 · Dougherty County
Emergency services Birthing friendly

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.

DR. DANIELLE LYNNETTE TERRY
Psychologist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. PHILLIP LUNSFORD MD
Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MRS. MELISSA FOX OTR/L
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 887-4801
DR. PREMJEET SINGH DHILLON MD
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
WILLIAM HUNTER EDWARDS
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-6666
DONNA L TAMKIN MD
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
DR. BRUCE C SLAGLE M.D.
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858
MS. EMILY S. OBERST PA-C
Physician Assistant
1 GUTHRIE SQ
SAYRE, PA 18840
Bradford County (570) 888-5858

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.

What insurance does Niral Shah accept?

Health plans from Molina Healthcare 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.

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.