BHAVIN C SHAH MD
NPI 1538802459
Family Medicine in Ardmore, OK

Active since April 19, 2022PECOS EnrolledAccepts Medicare Assignment
1020 N COMMERCE ST, ARDMORE, OK 73401(580) 223-5311(580) 220-6429 Get Directions Write a Review

NPPES record last updated: September 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2025, Apr 19, 2022 (2 updates tracked since 2022).

About Bhavin C Shah Md NPPES

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

BHAVIN C SHAH MD (NPI 1538802459) is an individual family medicine provider in Ardmore, Oklahoma, licensed in Oklahoma (45402) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Ardmore, Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538802459
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBHAVIN C SHAHCredential: MD
Location Address1020 N COMMERCE STArdmore, OK 73401-3920
Mailing Address34 Normandy RdClifton, NJ 07013-3108 · (973) 897-9593 · Fax (272) 243-2806
Fax(580) 220-6429
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 19, 2022
Last NPPES UpdateSeptember 21, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 21, 2025
NPI 1538802459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OK · 45402
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1020 N COMMERCE ST, Ardmore, OK 73401

Accepted 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

Bhavin C 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.

PECOS PAC ID6204336571
PECOS Enrollment IDI20250821002240
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.

Hospital Affiliations CMS Care Compare

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

Mercy Hospital Ardmore, Inc

Acute Care Hospitals · Ardmore, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370047
Location1011 14th Ave NWArdmore, OK 73401 · Carter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73401 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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 8

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

Family Medicine
1020 N COMMERCE ST
ARDMORE, OK 73401
Nurse Practitioner (Family)
1020 N COMMERCE ST
ARDMORE, OK 73401
Family Medicine
1020 N COMMERCE ST
ARDMORE, OK 73401
Nurse Practitioner (Family)
1020 N COMMERCE ST
ARDMORE, OK 73401
Nurse Practitioner (Family)
1020 N COMMERCE ST
ARDMORE, OK 73401
Family Medicine
1020 N COMMERCE ST
ARDMORE, OK 73401
Internal Medicine
1020 N COMMERCE ST
ARDMORE, OK 73401
Nurse Practitioner (Family)
1020 N COMMERCE ST
ARDMORE, OK 73401

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 Bhavin Shah's NPI number?

The NPI number for Bhavin Shah is 1538802459. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Bhavin Shah located?

Bhavin Shah practices at 1020 N Commerce St, Ardmore, OK 73401. The listed phone number is (580) 223-5311.

What is Bhavin Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Bhavin Shah enrolled in Medicare?

Yes. Bhavin 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.

What insurance does Bhavin Shah accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Bhavin 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 Bhavin Shah affiliated with any hospitals?

According to CMS data, Bhavin Shah is affiliated with Mercy Hospital Ardmore, Inc.

When was this NPI record last updated?

The NPPES record for Bhavin Shah was last updated on September 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.