DR. SHUBHRA M SHETTY M.D.
NPI 1649264532
Internal Medicine - Infectious Disease in Scranton, PA

Q: What is Shubhra Shetty's NPI number?

The NPI number for Shubhra Shetty is 1649264532. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Q: What is Shubhra Shetty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Q: When was this NPI record last updated?

The NPPES record for Shubhra Shetty was last updated on June 13, 2024. 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.

Active since September 07, 2005PECOS EnrolledAccepts Medicare Assignment

201 FRANKLIN AVE STE 3, SCRANTON, PA 18503(570) 800-7465(570) 800-7474 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 13, 2024, Dec 10, 2020 (2 updates tracked since 2020).

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About Dr. Shubhra M Shetty M.d. NPPES

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

DR. SHUBHRA M SHETTY M.D. (NPI 1649264532) is an individual infectious disease provider in Scranton, Pennsylvania, licensed in Pennsylvania (MD 059969L) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and maintains a secondary practice location in Wilkes Barre.

NPPES Registry Identity

NPI1649264532

Entity TypeIndividualFemale

Primary Taxonomy207RI0200X

Provider Legal NameDR. SHUBHRA M SHETTYCredential: M.D.

Location Address201 FRANKLIN AVE STE 3Scranton, PA 18503-1947

Mailing Address201 Franklin Ave Ste 3Scranton, PA 18503-1947 · (570) 800-7465 · Fax (570) 800-7474

Phone(570) 800-7465

Fax(570) 800-7474

Sole ProprietorNo

Medical School CMSOtherGraduated 1987

Enumeration DateSeptember 7, 2005

Last NPPES UpdateJune 13, 20242 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1649264532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RI0200X

License✔ Licensed in PA · MD 059969L

Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

201 FRANKLIN AVE STE 3, Scranton, PA 18503

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Secondary Practice Location 1

Location 1250 Old River Rd Ste CWilkes Barre, PA 18702-1611 · Phone (570) 852-5875 · Fax (570) 852-5885

Other Identifiers 1

Medicaid1758578PA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shubhra M Shetty 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 ID5890791420

PECOS Enrollment IDI20061004000568

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 Reassignment

Medicare enrollment records show Shubhra Shetty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wyoming Valley Aids Council

15 mi

Infectious Disease

330 BOWMAN ST, UNIT 1
Wilkes Barre, PA 18702

Reassigned Medicare billing, Pennsylvania enrollment
3 clinicians in this Medicare group

NPI 1588080824 (570) 823-5808

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

Hospital Affiliations CMS Care Compare

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390001

Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18503 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 Shubhra Shetty's NPI number?

The NPI number for Shubhra Shetty is 1649264532. It was assigned to this individual provider in the NPPES registry on September 7, 2005.

Where is Shubhra Shetty located?

Shubhra Shetty practices at 201 Franklin Ave Ste 3, Scranton, PA 18503. The listed phone number is (570) 800-7465.

What is Shubhra Shetty's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Shubhra Shetty enrolled in Medicare?

Yes. Shubhra Shetty 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 organization bills Medicare for Shubhra Shetty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shubhra Shetty reassigns Medicare benefits to Wyoming Valley Aids Council (Wilkes Barre, PA). The 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 Shubhra Shetty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shubhra Shetty accept?

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

According to CMS data, Shubhra Shetty is affiliated with Geisinger-Community Medical Center.

When was this NPI record last updated?

The NPPES record for Shubhra Shetty was last updated on June 13, 2024. 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.