DR. ANKIT SHAH MD
NPI 1205027406
Emergency Medicine in West Reading, PA

Active since August 05, 2007PECOS Enrolled
94.74/100
CMS Quality Rating
420 S 5TH AVE, WEST READING, PA 19611(484) 628-3637 Get Directions Write a Review

NPPES record last updated: June 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ankit Shah Md NPPES

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

DR. ANKIT SHAH MD (NPI 1205027406) is an individual emergency medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD432578) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in West Reading.

NPPES Registry Identity

NPI1205027406
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ANKIT SHAHCredential: MD
Location Address420 S 5TH AVEWest Reading, PA 19611
Mailing AddressPo Box 13579Reading, PA 19612-3579 · (484) 628-0799
Sole ProprietorNo
Enumeration DateAugust 5, 2007
Last NPPES UpdateJune 7, 2018
NPI 1205027406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in PA · MD432578
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
420 S 5TH AVE, West Reading, PA 19611

Secondary Practice Location 1

Location 16th Ave and Spruce StreetWest Reading, PA 19611-1412 · Phone (610) 568-3637

Other Identifiers 1

Medicaid1021630900002PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Ankit Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
26 services26 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
23 services23 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

94.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.58
Promoting Interoperability98
Improvement Activities40
Cost85.55

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.

Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611
Pathology (Forensic Pathology)
420 S 5TH AVE
WEST READING, PA 19611
Physician Assistant
420 S 5TH AVE
WEST READING, PA 19611
Surgery
420 S 5TH AVE
WEST READING, PA 19611
Nurse Practitioner (Family)
420 S 5TH AVE
READING, PA 19611
Student in an Organized Health Care Education/Training Program
420 S 5TH AVE
WEST READING, PA 19611

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 Ankit Shah's NPI number?

The NPI number for Ankit Shah is 1205027406. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Ankit Shah located?

Ankit Shah practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-3637.

What is Ankit Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ankit Shah enrolled in Medicare?

Yes. Ankit Shah is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ankit Shah was last updated on June 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.