DHARIKA PARESHKUMAR SHAH DO
NPI 1124488580
Internal Medicine - Nephrology in Middletown, OH
About Dharika Pareshkumar Shah Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DHARIKA PARESHKUMAR SHAH DO (NPI 1124488580) is an individual nephrology provider in Middletown, Ohio, licensed in Ohio (34.015594) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Locations 2
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
Dharika Pareshkumar Shah Do 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
2Medicare enrollment records show Dharika Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Liberty Township, OH 45044
- Reassigned Medicare billing, Ohio enrollment
- Also billed through NPI 1427577840 (Ohio)
- 12 clinicians in this Medicare group
Cincinnati, OH 45219
- Reassigned Medicare billing, Kentucky and Ohio enrollments
- 44 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 11
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 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health - Fairfield Hospital
Acute Care Hospitals · Fairfield, OHAtrium Medical Center
Acute Care Hospitals · Franklin, OHChrist Hospital
Acute Care Hospitals · Cincinnati, OHBethesda North
Acute Care Hospitals · Cincinnati, OHWest Chester Hospital
Acute Care Hospitals · West Chester, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 45005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
MIDDLETOWN, OH 45005
MIDDLETOWN, OH 45005
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 Dharika Shah's NPI number?
The NPI number for Dharika Shah is 1124488580. It was assigned to this individual provider in the NPPES registry on February 28, 2016.
Where is Dharika Shah located?
Dharika Shah practices at 200 Medical Center Dr Ste 360, Middletown, OH 45005. The listed phone number is (513) 487-5305.
What is Dharika Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Dharika Shah enrolled in Medicare?
Yes. Dharika 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 Dharika Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dharika Shah reassigns Medicare benefits to 2 organizations: Dialysis Access Center Of Cincinnati, Inc. (Liberty Township, OH) and Kidney And Hypertension Center Inc (Cincinnati, 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 Dharika Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dharika Shah accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Dharika 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 Dharika Shah affiliated with any hospitals?
According to CMS data, Dharika Shah is affiliated with Mercy Health - Fairfield Hospital, Atrium Medical Center, Christ Hospital, Bethesda North and West Chester Hospital.
When was this NPI record last updated?
The NPPES record for Dharika Shah was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dharika Pareshkumar Shah, DO · NPI 1124488580
Nephrology physician in Middletown, Ohio. Individual provider, active in the CMS NPPES registry since February 28, 2016.
## Identity
- **NPI:** 1124488580 (Entity type: Individual)
- **Enumerated:** February 28, 2016
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** 34.015594 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 MEDICAL CENTER DR STE 360, Middletown, OH 45005-5179
- **Phone:** (513) 487-5305
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Dialysis Access Center Of Cincinnati, Inc. (NPI 1568079788, Liberty Township, OH); Kidney And Hypertension Center Inc (NPI 1306944871, Cincinnati, OH) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** West Virginia School Of Osteopathic Medicine, class of 2016
## Record status
- **NPPES last updated:** July 27, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124488580) · Data from the CMS NPPES public registry.