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SHAIL BHATNAGAR MD
NPI 1306596614
Family Medicine in Maumee, OH

Active since March 28, 2022PECOS EnrolledAccepts Medicare Assignment
1657 HOLLAND RD STE A, MAUMEE, OH 43537(419) 794-2180(419) 794-2175 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shail Bhatnagar Md NPPES

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

SHAIL BHATNAGAR MD (NPI 1306596614) is an individual family medicine provider in Maumee, Ohio, licensed in Ohio (35.154830) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306596614
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSHAIL BHATNAGARCredential: MD
Location Address1657 HOLLAND RD STE AMaumee, OH 43537-1661
Mailing Address1657 Holland Rd Ste AMaumee, OH 43537-1661 · (419) 794-2180 · Fax (419) 794-2175
Phone(419) 794-2180
Fax(419) 794-2175
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 28, 2022
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1306596614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35.154830
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.
1657 HOLLAND RD STE A, Maumee, OH 43537
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Shail Bhatnagar 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 ID7214314095
PECOS Enrollment IDI20251125000740
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.

Medicare Billing Reassignment

Medicare enrollment records show Shail Bhatnagar reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians-North LLC
8.1 mi
Family Medicine
2200 JEFFERSON AVE
Toledo, OH 43604
  • Reassigned Medicare billing, Ohio enrollment
  • 457 clinicians in this Medicare group
NPI 1609000769 (419) 871-6359

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43537 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 5

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

KYLE ANTHONY KELLER MD
Family Medicine
1657 HOLLAND RD STE A
MAUMEE, OH 43537
Lucas County (419) 794-2180
MALACHI JORDAN MOYER PA
Physician Assistant
1657 HOLLAND RD STE A
MAUMEE, OH 43537
Lucas County (419) 794-2180
MR. JOSHUA MAYLE FNP-C
Nurse Practitioner (Family)
1657 HOLLAND RD STE A
MAUMEE, OH 43537
Lucas County (419) 794-2180
GARIMA METHI
Family Medicine
1657 HOLLAND RD STE A
MAUMEE, OH 43537
Lucas County (419) 794-2180
MATTHEW ALLAN EIFRID APRN
Nurse Practitioner (Psychiatric/Mental Health)
1657 HOLLAND RD STE A
MAUMEE, OH 43537
Lucas County (419) 482-1168

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 Shail Bhatnagar's NPI number?

The NPI number for Shail Bhatnagar is 1306596614. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Where is Shail Bhatnagar located?

Shail Bhatnagar practices at 1657 Holland Rd Ste A, Maumee, OH 43537. The listed phone number is (419) 794-2180.

What is Shail Bhatnagar's specialty?

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

Is Shail Bhatnagar enrolled in Medicare?

Yes. Shail Bhatnagar 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 organization bills Medicare for Shail Bhatnagar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shail Bhatnagar reassigns Medicare benefits to Mercy Health Physicians-North LLC (Toledo, OH). The 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 Shail Bhatnagar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shail Bhatnagar accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Shail Bhatnagar 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 Shail Bhatnagar affiliated with any hospitals?

According to CMS data, Shail Bhatnagar is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Shail Bhatnagar was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.