KETAN D. SHAH MD
NPI 1528098134
Internal Medicine in Charlotte, NC
About Ketan D. Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETAN D. SHAH MD (NPI 1528098134) is an individual internal medicine provider in Charlotte, North Carolina, licensed in North Carolina (200000133) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
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
Ketan D. 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 Reassignment
Medicare enrollment records show Ketan Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28277
- Reassigned Medicare billing, North Carolina enrollment
- 2,057 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center/Behav Health
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28277 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.
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 Ketan Shah's NPI number?
The NPI number for Ketan Shah is 1528098134. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Ketan Shah located?
Ketan Shah practices at 14214 Ballantyne Lake Rd Ste 100, Charlotte, NC 28277. The listed phone number is (704) 667-2650.
What is Ketan Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ketan Shah enrolled in Medicare?
Yes. Ketan 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 organization bills Medicare for Ketan Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ketan Shah reassigns Medicare benefits to Carolinas Physicians Network Inc (Charlotte, NC). 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 Ketan Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ketan Shah accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Ketan 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 Ketan Shah affiliated with any hospitals?
According to CMS data, Ketan Shah is affiliated with Carolinas Medical Center/Behav Health.
When was this NPI record last updated?
The NPPES record for Ketan Shah was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ketan D. Shah, MD · NPI 1528098134
Internal Medicine physician in Charlotte, North Carolina. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1528098134 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 200000133 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 14214 BALLANTYNE LAKE RD, STE 100, Charlotte, NC 28277-3372
- **Phone:** (704) 667-2650
## 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:** Carolinas Physicians Network Inc (NPI 1437168937, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Duke University School Of Medicine, class of 1995
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528098134) · Data from the CMS NPPES public registry.