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SANDHYA V SHAH MD
NPI 1114921046
Internal Medicine in Prairie Du Sac, WI

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
80 1ST ST, PRAIRIE DU SAC, WI 53578(608) 643-3311 Get Directions Write a Review

NPPES record last updated: October 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sandhya V Shah Md NPPES

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

SANDHYA V SHAH MD (NPI 1114921046) is an individual internal medicine provider in Prairie Du Sac, Wisconsin, licensed in Wisconsin (30254) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Aspirus Wausau Hospital, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1114921046
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSANDHYA V SHAHCredential: MD
Location Address80 1ST STPrairie Du Sac, WI 53578-1550
Mailing Address80 1st StPrairie Du Sac, WI 53578-1550 · (608) 643-3311
Phone(608) 643-3311
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateJune 9, 2005
Last NPPES UpdateOctober 6, 2010
✔ NPI 1114921046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 30254
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.
80 1ST ST, Prairie Du Sac, WI 53578
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE98786
Medicare ID-Type Unspecified0042WI
Medicaid31780900WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW.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

Sandhya V 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 ID2264459635
PECOS Enrollment IDI20051026000298
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.
111 services57 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
44 services43 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.
34 services34 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.
25 services25 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.
24 services22 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.
14 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520033
Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County
Emergency services

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53578 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

CURTIS N JOHNSON CRNA
Nurse Anesthetist, Certified Registered
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-3311
BECKI JO BRAUND PT
Physical Therapist
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-7263
THOMAS WILLIAM WOJTA PT
Physical Therapist
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-7263
MR. JAMES EDWARD FORCE PT
Physical Therapist
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-7263
SAUK PRAIRIE AMBULANCE ASSOCIATION
Ambulance (Land Transport)
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-4183
DAVID E SISBACH CRNA
Nurse Anesthetist, Certified Registered
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-3311
DR. YUEN SIM LAI PHARM D
Pharmacist
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-7243
MS. SHELLI RAE NESS P.T.
Physical Therapist
80 1ST ST
PRAIRIE DU SAC, WI 53578
Sauk County (608) 643-7263

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 Sandhya Shah's NPI number?

The NPI number for Sandhya Shah is 1114921046. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Sandhya Shah located?

Sandhya Shah practices at 80 1st St, Prairie Du Sac, WI 53578. The listed phone number is (608) 643-3311.

What is Sandhya Shah's specialty?

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

Is Sandhya Shah enrolled in Medicare?

Yes. Sandhya 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 Sandhya Shah accept?

Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Sandhya 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 Sandhya Shah affiliated with any hospitals?

According to CMS data, Sandhya Shah is affiliated with Aspirus Wausau Hospital, Aspirus Riverview Hospital & Clinics Inc, Fort Memorial Hospital and Ssm Health St Mary's Hospital - Madison.

When was this NPI record last updated?

The NPPES record for Sandhya Shah was last updated on October 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.