KRISHNA V SHAH MD
NPI 1477189470
Internal Medicine in West Reading, PA
About Krishna V Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISHNA V SHAH MD (NPI 1477189470) is an individual internal medicine provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD490301) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and maintains a secondary practice location in Athens.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Krishna V Shah 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.
Medicare Billing Reassignments
2Medicare enrollment records show Krishna Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
West Reading, PA 19611
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,473 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Reading Hospital
Acute Care Hospitals · West Reading, PAPhoenixville Hospital
Acute Care Hospitals · Phoenixville, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WEST READING, PA 19611
WEST READING, PA 19611
WEST READING, PA 19611
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 Krishna Shah's NPI number?
The NPI number for Krishna Shah is 1477189470. It was assigned to this individual provider in the NPPES registry on March 21, 2020.
Where is Krishna Shah located?
Krishna Shah practices at 420 S 5th Ave, West Reading, PA 19611. The listed phone number is (484) 628-8000.
What is Krishna Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Krishna Shah enrolled in Medicare?
Yes. Krishna 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 Krishna Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Shah reassigns Medicare benefits to 2 organizations: Tower Health Medical Group (West Reading, PA) and Hospital Physician Services - Southeast Professional Corporation (Monroe, GA). 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 Krishna Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Krishna Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Krishna 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.
Is Krishna Shah affiliated with any hospitals?
According to CMS data, Krishna Shah is affiliated with Reading Hospital and Phoenixville Hospital.
When was this NPI record last updated?
The NPPES record for Krishna Shah was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Krishna V Shah, MD · NPI 1477189470
Internal Medicine physician in West Reading, Pennsylvania. Individual provider, active in the CMS NPPES registry since March 21, 2020.
## Identity
- **NPI:** 1477189470 (Entity type: Individual)
- **Enumerated:** March 21, 2020
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD490301 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 420 S 5TH AVE, West Reading, PA 19611-2143
- **Phone:** (484) 628-8000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Tower Health Medical Group (NPI 1063589273, West Reading, PA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 24, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477189470) · Data from the CMS NPPES public registry.