AJIT SHAH MD
NPI 1245227735
Nuclear Medicine in Lexington, KY
About Ajit Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AJIT SHAH MD (NPI 1245227735) is an individual nuclear medicine provider in Lexington, Kentucky, licensed in Kentucky (TP163) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and maintains a secondary practice location in Sewickley.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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
Ajit 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
12Medicare enrollment records show Ajit Shah reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Connellsville, PA 15425
- Reassigned Medicare billing, Pennsylvania enrollment
- 155 clinicians in this Medicare group
Erie, PA 16501
- Reassigned Medicare billing, Pennsylvania enrollment
- 8 clinicians in this Medicare group
Erie, PA 16550
- Reassigned Medicare billing, Pennsylvania enrollment
- 962 clinicians in this Medicare group
Hamburg, NY 14075
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Southtowns Radiology Associates LLC
- 48 clinicians in this Medicare group
Hazleton, PA 18201
- Reassigned Medicare billing, Pennsylvania enrollment
- 17 clinicians in this Medicare group
Kingston, PA 18704
- Reassigned Medicare billing, Pennsylvania enrollment
- 15 clinicians in this Medicare group
Syracuse, NY 13210
- Reassigned Medicare billing, New York enrollment
- 15 clinicians in this Medicare group
New Windsor, NY 12553
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- 28 clinicians in this Medicare group
New Rochelle, NY 10801
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- Medicare enrollment name: New Rochelle Radiology Associates PC
- 27 clinicians in this Medicare group
Poughkeepsie, NY 12603
- Reassigned Medicare billing, New York and Pennsylvania enrollments
- 26 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Hamot
Acute Care Hospitals · Erie, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 40536 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.
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 Ajit Shah's NPI number?
The NPI number for Ajit Shah is 1245227735. It was assigned to this individual provider in the NPPES registry on September 30, 2005.
Where is Ajit Shah located?
Ajit Shah practices at 800 Rose St # Hx332e, Lexington, KY 40536. The listed phone number is (859) 323-5069.
What is Ajit Shah's specialty?
The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.
Is Ajit Shah enrolled in Medicare?
Yes. Ajit 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 Ajit Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ajit Shah reassigns Medicare benefits to 12 organizations: Highlands Hospital And Health Center (Connellsville, PA), Metabolic Disease Associates, Inc. (Erie, PA), Regional Health Services Inc (Erie, PA), Southtown Radiology Associates, LLC (Hamburg, NY), Imaging Associates Of Hazleton PC (Hazleton, PA) and 7 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 Ajit Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ajit Shah accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Blue Cross and Blue Shield of Texas and Cigna Healthcare list Ajit 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 Ajit Shah affiliated with any hospitals?
According to CMS data, Ajit Shah is affiliated with Upmc Hamot.
When was this NPI record last updated?
The NPPES record for Ajit Shah was last updated on March 17, 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.