SHETAL AMIT SHAH M.D.
NPI 1295066918
Ophthalmology in Brentwood, NY

Q: What is Shetal Shah's NPI number?

The NPI number for Shetal Shah is 1295066918. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Q: What is Shetal Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shetal Shah was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since January 20, 2010PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

601 SUFFOLK AVE, BRENTWOOD, NY 11717(631) 665-2455(631) 665-1363 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shetal Amit Shah M.d. NPPES

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

SHETAL AMIT SHAH M.D. (NPI 1295066918) is an individual ophthalmology provider in Brentwood, New York, licensed in New York (258433) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Dallas, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1295066918

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameSHETAL AMIT SHAHCredential: M.D.

Location Address601 SUFFOLK AVEBrentwood, NY 11717-4309

Mailing Address601 Suffolk AveBrentwood, NY 11717-4309 · (631) 665-2455 · Fax (631) 665-1363

Phone(631) 665-2455

Fax(631) 665-1363

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJanuary 20, 2010

Last NPPES UpdateFebruary 14, 2025

NPPES CertifiedFebruary 14, 2025

✔ NPI 1295066918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in NY · 258433✔ Licensed in TX · P5723

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

601 SUFFOLK AVE, Brentwood, NY 11717

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Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-7208 · Phone (214) 645-0624 · Fax (214) 645-0078

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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

Shetal Amit 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 ID5991945172

PECOS Enrollment IDI20140723002698

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 17

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.

Microfluid analysis of tears 83861

Microfluid analysis of tears involves collecting a small tear sample to examine its composition. This procedure can help detect health issues like dry eye disease, inflammation, or other eye conditions. It's a non-invasive, painless method for monitoring eye health.

953 services380 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

607 services577 patients

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.

508 services397 patients

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.

391 services255 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

382 services251 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.

270 services238 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.

221 services112 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).

185 services168 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.

103 services60 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

96 services95 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

92 services87 patients

Photography of content of eyes 92285

Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.

39 services39 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

23 services23 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.

17 services17 patients

Closure of tear duct opening using plug 68761

Closure of the tear duct opening using a plug is a procedure to address excessive tear production. A small device is inserted into the tear duct to block it, reducing tear flow and relieving symptoms. This is a safe, reversible process, often performed in-office.

13 services12 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

12 services11 patients

Removal of eyelashes using forceps 67820

The removal of eyelashes using forceps is a simple procedure where a medical professional gently extracts unwanted or problematic eyelashes with a specialized tool. This is often done to alleviate discomfort or to treat conditions like trichiasis, where eyelashes grow inward.

12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11717 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

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.

DR. GERALDINE C. DIAZ D.O.

Anesthesiology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

LONG ISLAND EYE SURGICAL CARE, PC

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

ANTHONY MARTINEZ OD

Optometrist

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (855) 295-4144

SUFFOLK ORAL SURGERY ASSOCIATES LLP

Dentist (Oral and Maxillofacial Surgery)

601 SUFFOLK AVE, SUITE 2
BRENTWOOD, NY 11717

Suffolk County (631) 273-4888

DR. NEIL SCOTT NICHOLS M.D.

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (855) 295-4144

DR. AARON AVNI MD

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

RAJU SARWAL MD

Ophthalmology

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

DR. CATHERINE CARMELA SCANDIFFIO O.D.

Optometrist

601 SUFFOLK AVE
BRENTWOOD, NY 11717

Suffolk County (631) 231-4455

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 Shetal Shah's NPI number?

The NPI number for Shetal Shah is 1295066918. It was assigned to this individual provider in the NPPES registry on January 20, 2010.

Where is Shetal Shah located?

Shetal Shah practices at 601 Suffolk Ave, Brentwood, NY 11717. The listed phone number is (631) 665-2455.

What is Shetal Shah's specialty?

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

Is Shetal Shah enrolled in Medicare?

Yes. Shetal 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 Shetal Shah accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Shetal 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.

When was this NPI record last updated?

The NPPES record for Shetal Shah was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.