DIVYA KELATH SHAH MD
NPI 1366568560
Obstetrics & Gynecology - Reproductive Endocrinology in Philadelphia, PA

Active since March 21, 2007PECOS Enrolled
85.48/100
CMS Quality Rating
800 SPRUCE ST, PHILADELPHIA, PA 19107(215) 829-2345(215) 829-3365 Get Directions Write a Review

NPPES record last updated: October 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Divya Kelath Shah Md NPPES

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

DIVYA KELATH SHAH MD (NPI 1366568560) is an individual reproductive endocrinology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD454786) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366568560
Entity TypeIndividualFemale
Primary Taxonomy207VE0102X
Provider Legal NameDIVYA KELATH SHAHCredential: MD
Location Address800 SPRUCE STPhiladelphia, PA 19107-6130
Mailing Address800 Spruce StPhiladelphia, PA 19107-6130 · (215) 829-2345 · Fax (215) 829-3365
Fax(215) 829-3365
Sole ProprietorNo
Enumeration DateMarch 21, 2007
Last NPPES UpdateOctober 18, 2019
✔ NPI 1366568560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Reproductive EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code207VE0102X
License✔ Licensed in PA · MD454786
Definition
An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD454786 (PA)
800 SPRUCE ST, Philadelphia, PA 19107

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Divya Kelath Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Divya Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ambulatory Fertility Facility
801 SPRUCE ST, 8TH FLOOR
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Internal Medicine
409 ROUTE 70 E
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 793 clinicians in this Medicare group
Surgery
950 S OCTORARA TRL
Parkesburg, PA 19365
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 215 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Student in an Organized Health Care Education/Training Program
800 SPRUCE ST
PHILADELPHIA, PA 19107
Psychiatry & Neurology (Neurology)
800 SPRUCE ST
PHILADELPHIA, PA 19107
Nurse Anesthetist, Certified Registered
800 SPRUCE ST
PHILADELPHIA, PA 19107
Anesthesiology
800 SPRUCE ST
PHILADELPHIA, PA 19107
Nurse Practitioner (Neonatal)
800 SPRUCE ST, 2 CATHCART
PHILADELPHIA, PA 19107
Hospitalist
800 SPRUCE ST
PHILADELPHIA, PA 19107
Internal Medicine
800 SPRUCE ST
PHILADELPHIA, PA 19107

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 Divya Shah's NPI number?

The NPI number for Divya Shah is 1366568560. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Divya Shah located?

Divya Shah practices at 800 Spruce St, Philadelphia, PA 19107. The listed phone number is (215) 829-2345.

What is Divya Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Reproductive Endocrinology, with taxonomy code 207VE0102X.

Is Divya Shah enrolled in Medicare?

Yes. Divya Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Divya Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Divya Shah reassigns Medicare benefits to 3 organizations: University Of Penn-Medical Group (Philadelphia, PA), Clinical Health Care Associates Of New Jersey, PC (Cherry Hill, NJ) and Lancaster General Hospital (Parkesburg, PA). 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 Divya Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Divya Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Divya 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 Divya Shah was last updated on October 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.