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LISETTA D. SHAH M.D.
NPI 1205221900
Family Medicine in Worcester, MA

Active since March 31, 2015PECOS EnrolledAccepts Medicare Assignment
5 NEPONSET STREET, WORCESTER, MA 01606 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 24, 2025, Oct 3, 2018, Aug 16, 2016 (3 updates tracked since 2016).

About Lisetta D. Shah M.d. NPPES

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

LISETTA D. SHAH M.D. (NPI 1205221900) is an individual family medicine provider in Worcester, Massachusetts, licensed in Massachusetts (273416) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Tufts University School Of Medicine (2015).

NPPES Registry Identity

NPI1205221900
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLISETTA D. SHAHCredential: M.D.
Location Address5 NEPONSET STREETWorcester, MA 01606-2714
Mailing Address5 Neponset St Fl Center12Worcester, MA 01606-2714 · (088) 520-6005
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2015
Enumeration DateMarch 31, 2015
Last NPPES UpdateJune 24, 20253 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
✔ NPI 1205221900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 273416
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5 NEPONSET STREET, Worcester, MA 01606
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Lisetta D. 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.

PECOS PAC ID8527376979
PECOS Enrollment IDI20190320000132
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.

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01606 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUHAYLA ISLAM DO
Family Medicine
5 NEPONSET STREET, MEDICAL STAFF SERVICES
WORCESTER, MA 01606
Worcester County (508) 425-5566

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 Lisetta Shah's NPI number?

The NPI number for Lisetta Shah is 1205221900. It was assigned to this individual provider in the NPPES registry on March 31, 2015.

Where is Lisetta Shah located?

Lisetta Shah practices at 5 Neponset Street, Worcester, MA 01606.

What is Lisetta Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisetta Shah enrolled in Medicare?

Yes. Lisetta 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 Lisetta Shah accept?

Health plans from Anthem Blue Cross and Blue Shield list Lisetta 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 Lisetta Shah affiliated with any hospitals?

According to CMS data, Lisetta Shah is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Lisetta Shah was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.