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NIYATI PANKAJ SHETH D.O.
NPI 1508063090
Internal Medicine - Infectious Disease in Lorain, OH

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
3600 KOLBE RD STE 206, LORAIN, OH 44053(440) 233-0138(440) 242-0571 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Niyati Pankaj Sheth D.o. NPPES

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

NIYATI PANKAJ SHETH D.O. (NPI 1508063090) is an individual infectious disease provider in Lorain, Ohio, licensed in Ohio (34.009579) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with University Hospitals - Elyria Medical Center, and maintains a secondary practice location in Lorain.

NPPES Registry Identity

NPI1508063090
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameNIYATI PANKAJ SHETHCredential: D.O.
Location Address3600 KOLBE RD STE 206Lorain, OH 44053-1652
Mailing Address3600 Kolbe Rd Ste 206Lorain, OH 44053-1652 · (440) 233-0138 · Fax (440) 242-0571
Phone(440) 233-0138
Fax(440) 242-0571
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 28, 2007
Last NPPES UpdateAugust 22, 2023
NPPES CertifiedAugust 22, 2023
✔ NPI 1508063090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in OH · 34.009579
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3600 KOLBE RD STE 206, Lorain, OH 44053
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Secondary Practice Location 1

Location 1221 W 21st Street Suite 1, Infectious Disease PhysiciansLorain, OH 44052 · Phone (440) 233-0138 · Fax (440) 233-1051

Other Identifiers 2

Medicaid2978836OH
Medicaid3025372OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and more.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

Niyati Pankaj Sheth D.o. 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 ID3577609817
PECOS Enrollment IDI20090930000221
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Niyati Sheth reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mercy Health Physicians Lorain, LLC
Same address
Family Medicine
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1023347192 (440) 988-1009
Mercy Health Physicians Lorain Specialty Care LLC
Same address
Surgery
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 227 clinicians in this Medicare group
NPI 1972126381 (440) 988-1009
University Primary Care Practices Inc
0.1 mi
Pediatrics
3600 KOLBE RD STE 120
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 1,437 clinicians in this Medicare group
NPI 1851422315 (440) 282-7408

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
266 services104 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services60 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
52 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
39 services23 patients
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.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44053 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.

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.

NICHOLAS JARMOSZUK, M.D., INC
Internal Medicine (Gastroenterology)
3600 KOLBE RD STE 206
LORAIN, OH 44053
Lorain County (440) 282-1360
KATE CLANCY MD
Otolaryngology (Plastic Surgery within the Head & Neck)
3600 KOLBE RD STE 206
LORAIN, OH 44053
Lorain County (440) 222-4140
CELESTE A FORSYTH RDN, LD
Dietitian, Registered
3600 KOLBE RD STE 206
LORAIN, OH 44053
Lorain County (440) 222-4180

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 Niyati Sheth's NPI number?

The NPI number for Niyati Sheth is 1508063090. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is Niyati Sheth located?

Niyati Sheth practices at 3600 Kolbe Rd Ste 206, Lorain, OH 44053. The listed phone number is (440) 233-0138.

What is Niyati Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Niyati Sheth enrolled in Medicare?

Yes. Niyati 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 organizations bill Medicare for Niyati Sheth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niyati Sheth reassigns Medicare benefits to 3 organizations: Mercy Health Physicians Lorain, LLC (Lorain, OH), Mercy Health Physicians Lorain Specialty Care LLC (Lorain, OH) and University Primary Care Practices Inc (Lorain, OH). 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 Niyati Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niyati Sheth accept?

Health plans from Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Molina Healthcare list Niyati 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 Niyati Sheth affiliated with any hospitals?

According to CMS data, Niyati Sheth is affiliated with University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Niyati Sheth was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.