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: July 19, 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 18

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
199 services187 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
150 services128 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
145 services142 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).
129 services124 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
112 services109 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.
99 services75 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.

Ophthalmology
401 N 17TH ST, STE 109
ALLENTOWN, PA 18104
Specialist
401 N 17TH ST, SUITE 309
ALLENTOWN, PA 18104
Specialist
401 N 17TH ST, SUITE 309
ALLENTOWN, PA 18104
Allergy & Immunology (Allergy)
401 N 17TH ST, SUITE 211
ALLENTOWN, PA 18104
Specialist
401 N 17TH ST, SUITE 309
ALLENTOWN, PA 18104
Nurse Practitioner (Family)
401 N 17TH ST, SUITE 211
ALLENTOWN, PA 18104
Hospitalist
401 N 17TH ST, SUITE 202
ALLENTOWN, PA 18104
Family Medicine
401 N 17TH ST, SUITE 105
ALLENTOWN, PA 18104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255328373, enumerated as an "individual" on October 04, 2005.

The provider is located at 401 N 17TH ST STE 103 ALLENTOWN, PA 18104 and the phone number is (610) 969-3070.

Ophthalmology with taxonomy code 207W00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Avani Shah is affiliated with: LEHIGH VALLEY HOSPITAL.