DR. JESAL VIRENDRA SHAH D.M.D., MD
NPI 1467604363
Dentist - Oral and Maxillofacial Surgery in New York, NY

Active since October 22, 2008PECOS Enrolled
3915 BROADWAY, NEW YORK, NY 10032(212) 567-5536(212) 202-6447 Get Directions Write a Review

NPPES record last updated: December 13, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jesal Virendra Shah D.m.d., Md NPPES

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

DR. JESAL VIRENDRA SHAH D.M.D., MD (NPI 1467604363) is an individual oral and maxillofacial surgery provider in New York, New York, licensed in New York (052986-1) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467604363
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JESAL VIRENDRA SHAHCredential: D.M.D., MD
Location Address3915 BROADWAYNew York, NY 10032-1565
Mailing Address3915 BroadwayNew York, NY 10032-1565 · (212) 567-5536 · Fax (212) 202-6447
Fax(212) 202-6447
Sole ProprietorNo
Enumeration DateOctober 22, 2008
Last NPPES UpdateDecember 13, 2013
NPI 1467604363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 052986-1
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedDentistTaxonomy 122300000X · License 052986 (NY)
3915 BROADWAY, New York, NY 10032

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Jesal Virendra Shah D.m.d., 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Other Providers at the Same Location NPPES 9

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

Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (Oral and Maxillofacial Surgery)
3915 BROADWAY
NEW YORK, NY 10032
Dentist (General Practice)
3915 BROADWAY
NEW YORK, NY 10032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467604363, enumerated as an "individual" on October 22, 2008.

The provider is located at 3915 BROADWAY NEW YORK, NY 10032 and the phone number is (212) 567-5536.

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.