SANDHYA V SHAH MD
NPI 1114921046
Internal Medicine in Prairie Du Sac, WI
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
Specialties & Licenses
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
8Medicare enrollment records show Sandhya Shah reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sauk City, WI 53583
- Reassigned Medicare billing, Wisconsin enrollment
- 110 clinicians in this Medicare group
Madison, WI 53715
- Reassigned Medicare billing, Wisconsin enrollment
- 13 clinicians in this Medicare group
Portage, WI 53901
- Reassigned Medicare billing, Wisconsin enrollment
- 359 clinicians in this Medicare group
Adams, WI 53910
- Reassigned Medicare billing, Wisconsin enrollment
- 397 clinicians in this Medicare group
Fort Atkinson, WI 53538
- Reassigned Medicare billing, Wisconsin enrollment
- 298 clinicians in this Medicare group
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 935 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Woodruff, WI 54568
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Howard Young Medical Center Inc Of Woodruff Wisconsin
- 358 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.
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.
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, WIAspirus Riverview Hospital & Clinics Inc
Acute Care Hospitals · Wisconsin Rapids, WIFort Memorial Hospital
Acute Care Hospitals · Fort Atkinson, WISsm Health St Mary's Hospital - Madison
Acute Care Hospitals · Madison, WIPhysician 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.
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.
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.
Which organizations bill Medicare for Sandhya Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sandhya Shah reassigns Medicare benefits to 8 organizations: Sauk Prairie Healthcare, Inc. (Sauk City, WI), Select Specialty Hospital - Madison Inc (Madison, WI), Divine Savior Healthcare, Inc. (Portage, WI), Aspirus Riverview Hospital & Clinics, Inc. (Adams, WI), Fort Healthcare, Inc. (Fort Atkinson, WI) and 3 more organizations, listed in the Medicare section above. 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 Sandhya Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 16 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.
# Sandhya V Shah, MD · NPI 1114921046
Internal Medicine physician in Prairie Du Sac, Wisconsin. Individual provider, active in the CMS NPPES registry since June 9, 2005.
## Identity
- **NPI:** 1114921046 (Entity type: Individual)
- **Enumerated:** June 9, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 30254 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 1ST ST, Prairie Du Sac, WI 53578-1550
- **Phone:** (608) 643-3311
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Sauk Prairie Healthcare, Inc. (NPI 1235163494, Sauk City, WI); Select Specialty Hospital - Madison Inc (NPI 1093535718, Madison, WI); Divine Savior Healthcare, Inc. (NPI 1124083894, Portage, WI); Aspirus Riverview Hospital & Clinics, Inc. (NPI 1114411287, Adams, WI); Fort Healthcare, Inc. (NPI 1811916281, Fort Atkinson, WI); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1986
## Record status
- **NPPES last updated:** October 6, 2010
- **Other identifiers:** Medicare UPIN E98786; Medicare ID-Type Unspecified 0042 (WI); Medicaid 31780900 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1114921046) · Data from the CMS NPPES public registry.