SUNNY SHAH M.D.
NPI 1629462155
Student in an Organized Health Care Education/Training Program in Reno, NV

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 23, 2015PECOS EnrolledAccepts Medicare Assignment

401 W 2ND ST, SUITE 215, RENO, NV 89503(775) 784-4917(775) 784-1428 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Sunny Shah M.d. NPPES

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

SUNNY SHAH M.D. (NPI 1629462155) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1629462155

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSUNNY SHAHCredential: M.D.

Location Address401 W 2ND ST, SUITE 215Reno, NV 89503-5345

Mailing Address401 W 2nd St, Suite 215Reno, NV 89503-5345 · (775) 784-4917 · Fax (775) 784-1428

Phone(775) 784-4917

Fax(775) 784-1428

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 23, 2015

Last NPPES UpdateDecember 13, 2021

✔ NPI 1629462155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

401 W 2ND ST, Reno, NV 89503

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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

Sunny Shah M.d. 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 ID5890001291

PECOS Enrollment IDI20191122001984

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.