DR. KETAN D. SHAH D.P.M.
NPI 1609822360
Podiatrist - Foot & Ankle Surgery in North Bergen, NJ

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
9234 KENNEDY BLVD, NORTH BERGEN, NJ 07047(201) 868-2400(201) 868-2014 Get Directions Write a Review

NPPES record last updated: March 31, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ketan D. Shah D.p.m. NPPES

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

DR. KETAN D. SHAH D.P.M. (NPI 1609822360) is an individual foot & ankle surgery provider in North Bergen, New Jersey, licensed in New Jersey (25MD00270100) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2000).

NPPES Registry Identity

NPI1609822360
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. KETAN D. SHAHCredential: D.P.M.
Location Address9234 KENNEDY BLVDNorth Bergen, NJ 07047-5312
Mailing Address9234 Kennedy BlvdNorth Bergen, NJ 07047-5312 · (201) 868-2400 · Fax (201) 868-2014
Fax(201) 868-2014
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2000
Enumeration DateMay 25, 2006
Last NPPES UpdateMarch 31, 2008
NPI 1609822360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in NJ · 25MD00270100
9234 KENNEDY BLVD, North Bergen, NJ 07047

Other Identifiers 3

Medicare ID-Type Unspecified059062NJ
Medicaid8882401NJ
Medicare UPINU90762NJ

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

Dr. Ketan D. Shah D.p.m. 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 ID9133024151
PECOS Enrollment IDI20031203000535
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 8

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 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.
686 services213 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
327 services144 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
107 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
86 services86 patients
Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304
An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.
58 services58 patients
Placement of strapping to ankle or foot 29540
Strapping to the ankle or foot is a procedure involving the application of tape or a similar material to provide support and stability. It can help manage injuries, reduce pain, and prevent further harm. The process is non-invasive and typically performed by a trained professional.
19 services19 patients

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
9234 KENNEDY BLVD
NORTH BERGEN, NJ 07047
Podiatrist (Foot Surgery)
9234 KENNEDY BLVD
NORTH BERGEN, NJ 07047

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 1609822360. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Ketan Shah located?

Ketan Shah practices at 9234 Kennedy Blvd, North Bergen, NJ 07047. The listed phone number is (201) 868-2400.

What is Ketan Shah's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

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.

What insurance does Ketan Shah accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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.

When was this NPI record last updated?

The NPPES record for Ketan Shah was last updated on March 31, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.