DR. AVANI SHAH MD
NPI 1255328373
Ophthalmology in Allentown, PA

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
401 N 17TH ST, STE 103, ALLENTOWN, PA 18104(610) 969-3070(610) 969-3073 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Avani Shah Md NPPES

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

DR. AVANI SHAH MD (NPI 1255328373) is an individual ophthalmology provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD435720) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Albany Medical College Of Union University (2001).

NPPES Registry Identity

NPI1255328373
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. AVANI SHAHCredential: MD
Location Address401 N 17TH ST, STE 103Allentown, PA 18104-5034
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Fax(610) 969-3073
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2001
Enumeration DateOctober 4, 2005
Last NPPES UpdateDecember 1, 2015
NPI 1255328373 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in PA · MD435720 Licensed in NJ · 25MA07895
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
401 N 17TH ST, Allentown, PA 18104

Other Identifiers 3

Medicare UPINI39363
Medicare ID-Type Unspecified093954DNR
Medicare NSC1246660001NJ

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

Dr. Avani 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.

PECOS PAC ID6608808753
PECOS Enrollment IDI20090601000099
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 14

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
295 services275 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
126 services104 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
114 services109 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
94 services56 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
88 services88 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
85 services58 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18104 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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 20

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

Pediatrics (Pediatric Cardiology)
401 N 17TH ST, SUITE 309
ALLENTOWN, PA 18104
Allergy & Immunology (Allergy)
401 N 17TH ST, SUITE 211
ALLENTOWN, PA 18104
Pediatrics
401 N 17TH ST, SUITE 203
ALLENTOWN, PA 18104
Pediatrics
401 N 17TH ST, SUITE 203
ALLENTOWN, PA 18104
Nurse Practitioner (Pediatrics)
401 N 17TH ST, SUITE 203
ALLENTOWN, PA 18104
Optometrist
401 N 17TH ST, SUITE 103
ALLENTOWN, PA 18104
Pediatrics
401 N 17TH ST, SUITE 203
ALLENTOWN, PA 18104
Nurse Practitioner (Family)
401 N 17TH ST
ALLENTOWN, PA 18104

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 Avani Shah's NPI number?

The NPI number for Avani Shah is 1255328373. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Avani Shah located?

Avani Shah practices at 401 N 17th St Ste 103, Allentown, PA 18104. The listed phone number is (610) 969-3070.

What is Avani Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Avani Shah enrolled in Medicare?

Yes. Avani 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.

Is Avani Shah affiliated with any hospitals?

According to CMS data, Avani Shah is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Avani Shah was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.