1. Home
  2. Directory
  3. Pennsylvania
  4. Easton
  5. Internal Medicine
  6. NPI Profile

PRAKASHCHANDRA N SHAH MD
NPI 1609897065
Internal Medicine in Easton, PA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
325 PINE ST # EASTON, EASTON, PA 18042(610) 829-2200 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 3, 2023, Oct 17, 2023, Sep 17, 2019 (3 updates tracked since 2019).

About Prakashchandra N Shah Md NPPES

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

PRAKASHCHANDRA N SHAH MD (NPI 1609897065) is an individual internal medicine provider in Easton, Pennsylvania, licensed in Pennsylvania (MD058780L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and maintains a secondary practice location in Easton.

NPPES Registry Identity

NPI1609897065
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePRAKASHCHANDRA N SHAHCredential: MD
Location Address325 PINE ST # EASTONEaston, PA 18042-4554
Mailing Address247 W Milton StEaston, PA 18042-6689 · (610) 258-4891
Phone(610) 829-2200
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateJuly 21, 2006
Last NPPES UpdateOctober 17, 20233 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1609897065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · MD058780L✔ Licensed in NJ · MA63811
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
325 PINE ST # EASTON, Easton, PA 18042
Open in Google Maps ↗

Other Names 1

Professional Name (2)Prakash N Shah Md

Secondary Practice Location 1

Location 1247 W Milton StEaston, PA 18042-6689 · Phone (610) 258-4891 ext. 61025

Other Identifiers 11

OtherP3171345PA · Oxford Health Plan
Medicaid0163134504PA
Other2591762NY · Ghi
Other1517097PA · Gateway Health Plan
OtherP00081340PA · Railroad Medicare
Other102366PA · Unison Health Plan
Other50003488PA · Capital Blue Cross
Other20019129PA · Amerihealth Mercy
Other5717363PA · Aetna
Other9273540002PA · Cigna
Other001418232PA · High Mark Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Prakashchandra N 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 ID6204726912
PECOS Enrollment IDI20110805000600
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 3

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.
78 services27 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
18 services13 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18042 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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 Prakashchandra Shah's NPI number?

The NPI number for Prakashchandra Shah is 1609897065. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Prakash N Shah MD.

Where is Prakashchandra Shah located?

Prakashchandra Shah practices at 325 Pine St # Easton, Easton, PA 18042. The listed phone number is (610) 829-2200.

What is Prakashchandra Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Prakashchandra Shah enrolled in Medicare?

Yes. Prakashchandra 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 Prakashchandra Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Prakashchandra 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 Prakashchandra Shah affiliated with any hospitals?

According to CMS data, Prakashchandra Shah is affiliated with Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Prakashchandra Shah was last updated on October 17, 2023. 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.