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DR. SHANTILAL KENIA M.D., FACC
NPI 1629062161
Internal Medicine - Cardiovascular Disease in Westfield, MA

Active since September 09, 2005PECOS EnrolledAccepts Medicare Assignment
115 W SILVER ST FL 1, WESTFIELD, MA 01085(413) 562-8088(413) 562-8006 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2026, Feb 8, 2022, Feb 7, 2017 (3 updates tracked since 2017).

About Dr. Shantilal Kenia M.d., Facc NPPES

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

DR. SHANTILAL KENIA M.D., FACC (NPI 1629062161) is an individual cardiovascular disease provider in Westfield, Massachusetts, licensed in Massachusetts (47638) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1976).

NPPES Registry Identity

NPI1629062161
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SHANTILAL KENIACredential: M.D., FACC
Location Address115 W SILVER ST FL 1Westfield, MA 01085-3678
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Phone(413) 562-8088
Fax(413) 562-8006
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1629062161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in MA · 47638
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
115 W SILVER ST FL 1, Westfield, MA 01085
Open in Google Maps ↗

Other Identifiers 9

Other052430MA · Connecticare
Other13550MA · Health New England
Medicaid6166385MA
OtherBX9518MA · Medicare Ptan
OtherJ02371MA · Bcbs Of Massachusetts
Other060057516MA · Railroad Medicare
Other300110MA · Harvard Pilgrim Healthcar
Other047638MA · Tufts
Other98128301MA · Network Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.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. Shantilal Kenia M.d., Facc 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 ID3577558501
PECOS Enrollment IDI20050323001171
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shantilal Kenia reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baystate Medical Practices, Inc
8.1 mi
Emergency Medical Services
759 CHESTNUT ST
Springfield, MA 01199
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,537 clinicians in this Medicare group
NPI 1548205909 (413) 794-5700
Caring Health Center, Inc.
9.1 mi
Federally Qualified Health Center (FQHC)
1049 MAIN STREET
Springfield, MA 01103
  • Reassigned Medicare billing, Massachusetts enrollment
  • 34 clinicians in this Medicare group
NPI 1659476356 (413) 693-1007
Hampden & Franklin County Cardiovascular Associates, PC
34 mi
Cardiovascular Disease
146 FEDERAL ST
Greenfield, MA 01301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 25 clinicians in this Medicare group
NPI 1174552350 (413) 774-2222
Steward Medical Group, Inc
82 mi
Specialist
9 GALEN ST
Watertown, MA 02472
  • Reassigned Medicare billing, Massachusetts enrollment
  • 991 clinicians in this Medicare group
NPI 1629398219 (615) 467-4474

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01085 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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 Shantilal Kenia's NPI number?

The NPI number for Shantilal Kenia is 1629062161. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Shantilal Kenia located?

Shantilal Kenia practices at 115 W Silver St Fl 1, Westfield, MA 01085. The listed phone number is (413) 562-8088.

What is Shantilal Kenia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Shantilal Kenia enrolled in Medicare?

Yes. Shantilal Kenia 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 Shantilal Kenia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shantilal Kenia reassigns Medicare benefits to 4 organizations: Baystate Medical Practices, Inc (Springfield, MA), Caring Health Center, Inc. (Springfield, MA), Hampden & Franklin County Cardiovascular Associates, PC (Greenfield, MA) and Steward Medical Group, Inc (Watertown, MA). 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 Shantilal Kenia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shantilal Kenia accept?

Health plans from Taro Health list Shantilal Kenia 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 Shantilal Kenia was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.