DR. PAYAL SHAH O.D.
NPI 1104955616
Optometrist in Pewaukee, WI
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
Specialties & Licenses
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Payal Shah O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Payal Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartland, WI 53029
- Reassigned Medicare billing, Wisconsin enrollment
- 7 clinicians in this Medicare group
Mason, OH 45040
- Reassigned Medicare billing, Wisconsin enrollment
- 21 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.
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.
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.
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.
Which organizations bill Medicare for Payal Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Payal Shah reassigns Medicare benefits to 2 organizations: Lake Country Eye Care, LLC (Hartland, WI) and Luxottica Of America Inc (Mason, OH). 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 Payal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Payal Shah accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers 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.
# Dr. Payal Shah, O.D. · NPI 1104955616
Optometrist provider in Pewaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 2, 2007.
## Identity
- **NPI:** 1104955616 (Entity type: Individual)
- **Enumerated:** March 2, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 2934-035 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2315 SILVERNAIL RD, Pewaukee, WI 53072-5402
- **Phone:** (262) 521-9383
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Lake Country Eye Care, LLC (NPI 1457757288, Hartland, WI); Luxottica Of America Inc (NPI 1689711046, Mason, OH) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 18, 2016
- **Other identifiers:** Medicare UPIN U89759 (WI); Medicaid 38620600 (WI); Medicare UPIN V06077 (WI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1104955616) · Data from the CMS NPPES public registry.