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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIRMAL ILESH SHAH
NPI 1346746260
Internal Medicine in Lancaster, OH

Active since March 30, 2018PECOS EnrolledAccepts Medicare Assignment
1550 SHERIDAN DR STE 203, LANCASTER, OH 43130(740) 687-8397(740) 654-4103 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 12, 2026, Mar 30, 2018 (2 updates tracked since 2018).

About Nirmal Ilesh Shah NPPES

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

NIRMAL ILESH SHAH (NPI 1346746260) is an individual internal medicine provider in Lancaster, Ohio, licensed in Ohio (58.030156) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1346746260
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRMAL ILESH SHAH
Location Address1550 SHERIDAN DR STE 203Lancaster, OH 43130-1380
Mailing Address1550 Sheridan Dr Ste 203Lancaster, OH 43130-1380 · (740) 687-8397 · Fax (740) 654-4103
Phone(740) 687-8397
Fax(740) 654-4103
Sole ProprietorNo
Medical School CMSLake Erie Col Of Osteo Med At Seton Hill UnivGraduated 2018
Enumeration DateMarch 30, 2018
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1346746260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 58.030156
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License DO232796 (OR)
1550 SHERIDAN DR STE 203, Lancaster, OH 43130
Open in Google Maps ↗

Secondary Practice Location 1

Location 13377 Riverbend DrSpringfield, OR 97477-8803 · Phone (541) 222-6389 · Fax (541) 222-6385

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

Nirmal Ilesh Shah 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 ID6305235904
PECOS Enrollment IDI20211122000809
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 Reassignments

2

Medicare enrollment records show Nirmal Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sound Physicians Of Illinois, LLC
427 mi
Hospitalist
12303 DE PAUL DR
Bridgeton, MO 63044
  • Reassigned Medicare billing, Missouri enrollment
  • 301 clinicians in this Medicare group
NPI 1043598865 (314) 344-6000
Cogent Healthcare Of Missouri, Inc
433 mi
Critical Care Medicine
1015 BOWLES AVE
Fenton, MO 63026
  • Reassigned Medicare billing, Missouri enrollment
  • 255 clinicians in this Medicare group
NPI 1780961599 (615) 377-5600

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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
158 services150 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health Depaul Hospital St Louis

Acute Care Hospitals · Bridgeton, MO
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number260104
Location12303 Depaul DriveBridgeton, MO 63044 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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

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

DEVON JODELLE KNOCH
Counselor (Mental Health)
1550 SHERIDAN DR STE 203
LANCASTER, OH 43130
Fairfield County (740) 901-3040

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 Nirmal Shah's NPI number?

The NPI number for Nirmal Shah is 1346746260. It was assigned to this individual provider in the NPPES registry on March 30, 2018.

Where is Nirmal Shah located?

Nirmal Shah practices at 1550 Sheridan Dr Ste 203, Lancaster, OH 43130. The listed phone number is (740) 687-8397.

What is Nirmal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirmal Shah enrolled in Medicare?

Yes. Nirmal 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 Nirmal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirmal Shah reassigns Medicare benefits to 2 organizations: Sound Physicians Of Illinois, LLC (Bridgeton, MO) and Cogent Healthcare Of Missouri, Inc (Fenton, MO). 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 Nirmal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nirmal Shah affiliated with any hospitals?

According to CMS data, Nirmal Shah is affiliated with Ssm St Joseph Health Center and Ssm Health Depaul Hospital St Louis.

When was this NPI record last updated?

The NPPES record for Nirmal Shah was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.