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NIRAV GOPALBHAI SHETH MD
NPI 1063671709
Internal Medicine in Abington, PA

Active since June 06, 2008PECOS EnrolledAccepts Medicare Assignment
1200 OLD YORK RD, DEPT OF MEDICINE HOSPITALISTS, ABINGTON, PA 19001(215) 481-2222 Get Directions Write a Review

NPPES record last updated: May 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nirav Gopalbhai Sheth Md NPPES

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

NIRAV GOPALBHAI SHETH MD (NPI 1063671709) is an individual internal medicine provider in Abington, Pennsylvania, licensed in Pennsylvania (MD434762) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Orlando Health, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1063671709
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRAV GOPALBHAI SHETHCredential: MD
Location Address1200 OLD YORK RD, DEPT OF MEDICINE HOSPITALISTSAbington, PA 19001-3720
Mailing AddressPo Box 1705Augusta, GA 30903-1705 · (706) 774-7263 · Fax (706) 774-7230
Phone(215) 481-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 6, 2008
Last NPPES UpdateMay 27, 2020
NPPES CertifiedMay 27, 2020
✔ NPI 1063671709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD434762
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.
1200 OLD YORK RD, Abington, PA 19001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Nirav Gopalbhai Sheth 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 ID4486727161
PECOS Enrollment IDI20220406000453
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 6

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.
244 services129 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.
120 services83 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.
92 services91 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
16 services16 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.
15 services15 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Orlando Health-Health Central Hospital

Acute Care Hospitals · Ocoee, FL
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number100030
Location10000 W Colonial DrOcoee, FL 34761 · Orange County
Emergency services

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19001 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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
2 suppliers17 claims17 services$15.67 avg. paid by Medicare
Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470
DME-Other DME · category DE001N
1 supplier11 claims11 services$68.38 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
3 suppliers32 claims32 services$65.60 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.

DR. SHAILI NEPAL M.D.
Internal Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2191
ANGELA CARRACINO DO
Obstetrics & Gynecology
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2606
MR. KRISHNA CHAUDHARY MD
Internal Medicine
1200 OLD YORK RD, SUITE 2B
ARINGTON, PA 19001
Montgomery County (215) 481-2222
ANDRIY BASHTA
Nurse Practitioner (Acute Care)
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-3145
GRIFFIN JOHNSON MD
Student in an Organized Health Care Education/Training Program
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2000
MEGAN GRIFFITH
Surgery (Vascular Surgery)
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-2000
OSMAN KOZAK
Psychiatry & Neurology (Neurology)
1200 OLD YORK RD, 5 TOLL
ABINGTON, PA 19001
Montgomery County (215) 481-3145
DAVID M COMPERATORE MD
Emergency Medicine
1200 OLD YORK RD
ABINGTON, PA 19001
Montgomery County (215) 481-4355

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 Nirav Sheth's NPI number?

The NPI number for Nirav Sheth is 1063671709. It was assigned to this individual provider in the NPPES registry on June 6, 2008.

Where is Nirav Sheth located?

Nirav Sheth practices at 1200 Old York Rd Dept Of Medicine Hospitalists, Abington, PA 19001. The listed phone number is (215) 481-2222.

What is Nirav Sheth's specialty?

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

Is Nirav Sheth enrolled in Medicare?

Yes. Nirav Sheth 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 Nirav Sheth accept?

Health plans from AvMed list Nirav Sheth 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 Nirav Sheth affiliated with any hospitals?

According to CMS data, Nirav Sheth is affiliated with Orlando Health, Orlando Health-Health Central Hospital and Paoli Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Sheth was last updated on May 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.