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DR. ASHISH SHETH MD
NPI 1487645073
Internal Medicine in Cross Lanes, WV

Active since November 02, 2005PECOS EnrolledAccepts Medicare Assignment
924 CROSS LANES DR, CROSS LANES INTERNAL MEDICINE GROUP INC, CROSS LANES, WV 25313(304) 776-9872(304) 204-2385 Get Directions Write a Review

NPPES record last updated: December 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1487645073
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHISH SHETHCredential: MD
Location Address924 CROSS LANES DR, CROSS LANES INTERNAL MEDICINE GROUP INCCross Lanes, WV 25313-1315
Mailing Address924 Cross Lanes Dr, Wv Primary CareCross Lanes, WV 25313-1315 · (304) 776-9872 · Fax (304) 204-2385
Phone(304) 776-9872
Fax(304) 204-2385
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 2, 2005
Last NPPES UpdateDecember 20, 2011
✔ NPI 1487645073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WV · 19078
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.
924 CROSS LANES DR, Cross Lanes, WV 25313
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Other Identifiers 2

Medicare UPING56727
Medicaid0080729000WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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. 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.

PECOS PAC ID3870675457
PECOS Enrollment IDI20100914000022
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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,019 services285 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
416 services175 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
256 services256 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
250 services250 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.
241 services241 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
56 services36 patients

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, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510022
Location501 Morris StreetCharleston, WV 25301 · Kanawha County
Emergency services Birthing friendly

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Physician 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.

New Patient
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers34 claims153 services$6.42 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier15 claims15 services$51.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers16 claims16 services$5.29 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$52.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers38 claims38 services$91.23 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier15 claims15 services$34.87 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 5

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

LESLIE ASBURY APRN, FNP-BC
Nurse Practitioner (Family)
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
JUSTIN ANDREW SMITH APRN-CNP
Nurse Practitioner
924 CROSS LANES DR
CHARLESTON, WV 25313
Kanawha County (304) 776-9872
MEGAN FERNANDEZ NURSE PRACTITIONER
Nurse Practitioner (Family)
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
TAMMY FRANKLIN APRN
Nurse Practitioner (Family)
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-9872
WV PRIMARY CARE INC
Internal Medicine
924 CROSS LANES DR
CROSS LANES, WV 25313
Kanawha County (304) 776-1046

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.

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.