PRASUN JAYESH SHAH MD
NPI 1548956600
Student in an Organized Health Care Education/Training Program in Fairborn, OH
About Prasun Jayesh Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRASUN JAYESH SHAH MD (NPI 1548956600) is an individual student in an organized health care education/training program in Fairborn, Ohio and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Prasun Jayesh Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
BEAVERCREEK, OH 45324
FAIRBORN, OH 45324
BEAVERCREEK, OH 45324
BEAVERCREEK, OH 45324
BEAVERCREEK, OH 45324
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 Prasun Shah's NPI number?
The NPI number for Prasun Shah is 1548956600. It was assigned to this individual provider in the NPPES registry on April 12, 2023.
Where is Prasun Shah located?
Prasun Shah practices at 725 University Blvd, Fairborn, OH 45324. The listed phone number is (937) 775-7792.
What is Prasun Shah's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Prasun Shah enrolled in Medicare?
Yes. Prasun Shah is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Prasun Shah was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Prasun Jayesh Shah, MD · NPI 1548956600
Student in an Organized Health Care Education/Training Program provider in Fairborn, Ohio. Individual provider, active in the CMS NPPES registry since April 12, 2023.
## Identity
- **NPI:** 1548956600 (Entity type: Individual)
- **Enumerated:** April 12, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 725 UNIVERSITY BLVD, Fairborn, OH 45324-2640
- **Phone:** (937) 775-7792
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548956600) · Data from the CMS NPPES public registry.