DR. ASHISH SHETH MD
NPI 1487645073
Internal Medicine in Cross Lanes, WV
About Dr. Ashish Sheth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ASHISH SHETH MD (NPI 1487645073) is an individual internal medicine provider in Cross Lanes, West Virginia, licensed in West Virginia (19078) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Charleston Area Medical Center, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Ashish Sheth 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 Reassignment
Medicare enrollment records show Ashish Sheth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cross Lanes, WV 25313
- Reassigned Medicare billing, West Virginia enrollment
- 7 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.
Areas of Expertise CMS Part B claims 11
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Charleston Area Medical Center
Acute Care Hospitals · Charleston, WVThomas Memorial Hospital
Acute Care Hospitals · South Charleston, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 25313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CROSS LANES, WV 25313
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 Ashish Sheth's NPI number?
The NPI number for Ashish Sheth is 1487645073. It was assigned to this individual provider in the NPPES registry on November 2, 2005.
Where is Ashish Sheth located?
Ashish Sheth practices at 924 Cross Lanes Dr Cross Lanes Internal Medicine Group Inc, Cross Lanes, WV 25313. The listed phone number is (304) 776-9872.
What is Ashish Sheth's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ashish Sheth enrolled in Medicare?
Yes. Ashish 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.
Which organization bills Medicare for Ashish Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ashish Sheth reassigns Medicare benefits to Wv Primary Care Inc (Cross Lanes, WV). The 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 Ashish Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ashish Sheth accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Ashish 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 Ashish Sheth affiliated with any hospitals?
According to CMS data, Ashish Sheth is affiliated with Charleston Area Medical Center and Thomas Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Ashish Sheth was last updated on December 20, 2011. 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.
# Dr. Ashish Sheth, MD · NPI 1487645073
Internal Medicine physician in Cross Lanes, West Virginia. Individual provider, active in the CMS NPPES registry since November 2, 2005.
## Identity
- **NPI:** 1487645073 (Entity type: Individual)
- **Enumerated:** November 2, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 19078 (West Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 924 CROSS LANES DR, CROSS LANES INTERNAL MEDICINE GROUP INC, Cross Lanes, WV 25313-1315
- **Phone:** (304) 776-9872 · **Fax:** (304) 204-2385
## 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:** Wv Primary Care Inc (NPI 1821317330, Cross Lanes, WV), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** December 20, 2011
- **Other identifiers:** Medicare UPIN G56727; Medicaid 0080729000 (WV)
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Source: [NPI Profile](https://npiprofile.com/npi/1487645073) · Data from the CMS NPPES public registry.