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DR. PAYAL SHAH O.D.
NPI 1104955616
Optometrist in Pewaukee, WI

Active since March 02, 2007PECOS Enrolled
2315 SILVERNAIL RD, PEWAUKEE, WI 53072(262) 521-9383 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Payal Shah O.d. NPPES

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

DR. PAYAL SHAH O.D. (NPI 1104955616) is an individual optometrist in Pewaukee, Wisconsin, licensed in Wisconsin (2934-035) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104955616
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAYAL SHAHCredential: O.D.
Location Address2315 SILVERNAIL RDPewaukee, WI 53072-5402
Mailing Address2315 Silvernail RdPewaukee, WI 53072-5402 · (262) 521-9383
Phone(262) 521-9383
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 18, 2016
✔ NPI 1104955616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 2934-035
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2315 SILVERNAIL RD, Pewaukee, WI 53072
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Other Identifiers 4

Medicare UPINU89759WI
Medicaid38620600WI
Medicare UPINV06077WI
Medicare ID-Type Unspecified001587780WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Payal Shah O.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 53072 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 3

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

KESHA DESAI RAJGURU O.D.
Optometrist
2315 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 521-9383
OPTICAL CONSULTANTS, INC
Technician/Technologist (Optician)
2315 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 521-9383
MCKENNA RAE YOUNG OD
Optometrist
2315 SILVERNAIL RD
PEWAUKEE, WI 53072
Waukesha County (262) 521-9383

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 Payal Shah's NPI number?

The NPI number for Payal Shah is 1104955616. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Payal Shah located?

Payal Shah practices at 2315 Silvernail Rd, Pewaukee, WI 53072. The listed phone number is (262) 521-9383.

What is Payal Shah's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Payal Shah enrolled in Medicare?

Yes. Payal Shah is registered in the Medicare PECOS enrollment system.

What insurance does Payal Shah accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners list Payal 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 Payal Shah was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.