DR. NIEL N SHAH MD
NPI 1619453503
Internal Medicine in Philadelphia, PA
About Dr. Niel N Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NIEL N SHAH MD (NPI 1619453503) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD474569) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Albert Einstein Medical Center, and maintains a secondary practice location in Bronx.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Niel 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.
Medicare Billing Reassignments
3Medicare enrollment records show Niel Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19141
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,205 clinicians in this Medicare group
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 646 clinicians in this Medicare group
Somerset, PA 15501
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Hospitalist Medicine Physicians Of Pennsylvania PC
- 274 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Albert Einstein Medical Center
Acute Care Hospitals · Philadelphia, PAEinstein Medical Center Montgomery
Acute Care Hospitals · East Norriton, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19141 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
PHILADELPHIA, PA 19141
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 Niel Shah's NPI number?
The NPI number for Niel Shah is 1619453503. It was assigned to this individual provider in the NPPES registry on July 14, 2018.
Where is Niel Shah located?
Niel Shah practices at 5501 Old York Rd, Philadelphia, PA 19141. The listed phone number is (215) 456-6500.
What is Niel Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Niel Shah enrolled in Medicare?
Yes. Niel 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 organizations bill Medicare for Niel Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niel Shah reassigns Medicare benefits to 3 organizations: Einstein Practice Plan, Inc (Philadelphia, PA), Trinity Health Mid-Atlantic Medical Group (Philadelphia, PA) and Hospitalist Medicine Physicians Of Pennsylvania, P.C. (Somerset, PA). Each 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 Niel Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niel Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Niel 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 Niel Shah affiliated with any hospitals?
According to CMS data, Niel Shah is affiliated with Albert Einstein Medical Center and Einstein Medical Center Montgomery.
When was this NPI record last updated?
The NPPES record for Niel Shah was last updated on July 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Niel N Shah, MD · NPI 1619453503
Internal Medicine physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 14, 2018.
## Identity
- **NPI:** 1619453503 (Entity type: Individual)
- **Enumerated:** July 14, 2018
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD474569 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5501 OLD YORK RD, Philadelphia, PA 19141-3018
- **Phone:** (215) 456-6500 · **Fax:** (215) 456-7443
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Einstein Practice Plan, Inc (NPI 1396327151, Philadelphia, PA); Trinity Health Mid-Atlantic Medical Group (NPI 1497312656, Philadelphia, PA); Hospitalist Medicine Physicians Of Pennsylvania, P.C. (NPI 1639464308, Somerset, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** July 7, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1619453503) · Data from the CMS NPPES public registry.