SHIVANI SHAH M.D.
NPI 1053721597
Obstetrics & Gynecology in Wilkes Barre, PA

Active since May 06, 2014PECOS EnrolledAccepts Medicare Assignment
1155 E MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-7916 Get Directions Write a Review

NPPES record last updated: February 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 15, 2022, Aug 31, 2020, Sep 27, 2018 and 1 more (4 updates tracked since 2017).

About Shivani Shah M.d. NPPES

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

SHIVANI SHAH M.D. (NPI 1053721597) is an individual obstetrics & gynecology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD465099) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Albuquerque, and is a graduate of Wayne State University School Of Medicine (2014).

NPPES Registry Identity

NPI1053721597
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameSHIVANI SHAHCredential: M.D.
Location Address1155 E MOUNTAIN BLVDWilkes Barre, PA 18702-7906
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2014
Enumeration DateMay 6, 2014
Last NPPES UpdateFebruary 15, 20224 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2022
NPI 1053721597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in PA · MD465099
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1155 E MOUNTAIN BLVD, Wilkes Barre, PA 18702

Secondary Practice Location 1

Location 1Msc 10 5580, 1 University of New MexicoAlbuquerque, NM 87131-0001 · Phone (505) 272-9474

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

Shivani 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 ID648497685
PECOS Enrollment IDI20220222000211
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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services14 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 20

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

Registered Nurse
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Nurse Practitioner (Family)
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Podiatrist
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Obstetrics & Gynecology
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Advanced Practice Midwife
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Obstetrics & Gynecology (Gynecologic Oncology)
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Registered Nurse
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702
Physician Assistant
1155 E MOUNTAIN BLVD
WILKES BARRE, PA 18702

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 Shivani Shah's NPI number?

The NPI number for Shivani Shah is 1053721597. It was assigned to this individual provider in the NPPES registry on May 6, 2014.

Where is Shivani Shah located?

Shivani Shah practices at 1155 E Mountain Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 808-7916.

What is Shivani Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Shivani Shah enrolled in Medicare?

Yes. Shivani 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 Shivani Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Shivani 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 Shivani Shah was last updated on February 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.