1. Home
  2. Directory
  3. Ohio
  4. Niles
  5. Internal Medicine
  6. NPI Profile

DR. YOGESH O SHETH M.D.
NPI 1467449371
Internal Medicine in Niles, OH

Active since October 05, 2005PECOS EnrolledAccepts Medicare Assignment
92.4/100
CMS Quality Rating
940 ROBBINS AVE, NILES, OH 44446(330) 652-7973(330) 652-7876 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Yogesh O Sheth M.d. NPPES

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

DR. YOGESH O SHETH M.D. (NPI 1467449371) is an individual internal medicine provider in Niles, Ohio, licensed in Ohio (35035265) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mh St Joseph Warren Hospital, and is a graduate of Other (1963).

NPPES Registry Identity

NPI1467449371
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. YOGESH O SHETHCredential: M.D.
Location Address940 ROBBINS AVENiles, OH 44446-2468
Mailing Address940 Robbins AveNiles, OH 44446-2468 · (330) 652-7973 · Fax (330) 652-7876
Phone(330) 652-7973
Fax(330) 652-7876
Sole ProprietorNo
Medical School CMSOtherGraduated 1963
Enumeration DateOctober 5, 2005
Last NPPES UpdateJuly 19, 2012
✔ NPI 1467449371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35035265
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.
940 ROBBINS AVE, Niles, OH 44446
Open in Google Maps ↗

Other Identifiers 14

Other$$$$$$$$$003OH · Medical Mutual Of Ohio
Other000000183145OH · Unison
Other31-1513392OH · Humana
Medicaid0290242OH
Other000000128444OH · Anthem
Other7223OH · Cigna
Medicare PIN0396342OH
Medicare PIN0396341OH
Other311513392028OH · Caresource
Medicare UPINA 74656OH
Other$$$$$$$$$-00OH · Bwc
Other000000121268OH · Anthem
Other112531851OH · Railroad Medicare
Other110220860OH · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, UnitedHealthcare.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

Dr. Yogesh O Sheth 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 ID8123928991
PECOS Enrollment IDI20080418000316
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 2

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
145 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44446 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.

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.

92.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.72
Improvement Activities40
Cost81.72

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers28 claims68 services$5.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

DR. YOGESH O. SHETH, MD
Internal Medicine
940 ROBBINS AVE
NILES, OH 44446
Trumbull County (330) 652-7973
DR. SANJAY Y SHETH M.D.
Internal Medicine
940 ROBBINS AVE
NILES, OH 44446
Trumbull County (330) 652-7973
DR. RAMONA S SHETH M.D.,
Internal Medicine
940 ROBBINS AVE
NILES, OH 44446
Trumbull County (330) 652-7973

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 Yogesh Sheth's NPI number?

The NPI number for Yogesh Sheth is 1467449371. It was assigned to this individual provider in the NPPES registry on October 5, 2005.

Where is Yogesh Sheth located?

Yogesh Sheth practices at 940 Robbins Ave, Niles, OH 44446. The listed phone number is (330) 652-7973.

What is Yogesh Sheth's specialty?

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

Is Yogesh Sheth enrolled in Medicare?

Yes. Yogesh Sheth 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 Yogesh Sheth accept?

Health plans from CareSource, MedMutual and UnitedHealthcare list Yogesh Sheth 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 Yogesh Sheth affiliated with any hospitals?

According to CMS data, Yogesh Sheth is affiliated with Mh St Joseph Warren Hospital.

When was this NPI record last updated?

The NPPES record for Yogesh Sheth was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.