SAPAN HEMANT SHAH M.D.
NPI 1134650989
Orthopaedic Surgery in Upper Marlboro, MD
About Sapan Hemant Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAPAN HEMANT SHAH M.D. (NPI 1134650989) is an individual orthopaedic surgery provider in Upper Marlboro, Maryland, licensed in Illinois (036177394) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 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 and accepts Medicare assignment
Sapan Hemant Shah M.d. 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
3Medicare enrollment records show Sapan Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Largo, MD 20774
- Reassigned Medicare billing, District of Columbia enrollment
- 328 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: University Of Maryland Orthopaedic Associates PA
- 45 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 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
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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILNorthwest Community Hospital 1
Acute Care Hospitals · Arlington Heights, ILUniversity Of MD Capital Region Medical Center
Acute Care Hospitals · Upper Marlboro, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20774 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
UPPER MARLBORO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
LARGO, MD 20774
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 Sapan Shah's NPI number?
The NPI number for Sapan Shah is 1134650989. It was assigned to this individual provider in the NPPES registry on March 23, 2017.
Where is Sapan Shah located?
Sapan Shah practices at 901 Harry S Truman Dr N, Upper Marlboro, MD 20774. The listed phone number is (240) 677-3000.
What is Sapan Shah's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Sapan Shah enrolled in Medicare?
Yes. Sapan 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 Sapan Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sapan Shah reassigns Medicare benefits to 3 organizations: Dimensions Healthcare Associates, Inc. (Largo, MD), University Of Maryland Orthopaedic Associates P A (Baltimore, MD) and Endeavor Health Medical Group (Evanston, IL). 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 Sapan Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sapan Shah accept?
Health plans from Ambetter Health and Oscar Health list Sapan 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 Sapan Shah affiliated with any hospitals?
According to CMS data, Sapan Shah is affiliated with Elmhurst Memorial Hospital, Northwest Community Hospital 1 and University Of MD Capital Region Medical Center.
When was this NPI record last updated?
The NPPES record for Sapan Shah was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Sapan Hemant Shah, M.D. · NPI 1134650989
Orthopaedic Surgery physician in Upper Marlboro, Maryland. Individual provider, active in the CMS NPPES registry since March 23, 2017.
## Identity
- **NPI:** 1134650989 (Entity type: Individual)
- **Enumerated:** March 23, 2017
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 036177394 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 901 HARRY S TRUMAN DR N, Upper Marlboro, MD 20774-5477
- **Phone:** (240) 677-3000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Dimensions Healthcare Associates, Inc. (NPI 1346354834, Largo, MD); University Of Maryland Orthopaedic Associates P A (NPI 1740235274, Baltimore, MD); Endeavor Health Medical Group (NPI 1265695944, Evanston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** December 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1134650989) · Data from the CMS NPPES public registry.