KETANKUMAR SHAH MD
NPI 1659761948
Internal Medicine in Edison, NJ
About Ketankumar Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KETANKUMAR SHAH MD (NPI 1659761948) is an individual internal medicine provider in Edison, New Jersey, licensed in Connecticut (054281) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
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
Ketankumar 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
8Medicare enrollment records show Ketankumar Shah reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edison, NJ 08820
- Reassigned Medicare billing, New Jersey enrollment
- 351 clinicians in this Medicare group
New Hyde Park, NY 11042
- Reassigned Medicare billing, New Jersey enrollment
- 417 clinicians in this Medicare group
Meriden, CT 06451
- Reassigned Medicare billing, Connecticut enrollment
- 505 clinicians in this Medicare group
Bristol, CT 06010
- Reassigned Medicare billing, Connecticut enrollment
- 222 clinicians in this Medicare group
Bristol, CT 06011
- Reassigned Medicare billing, Connecticut enrollment
- 30 clinicians in this Medicare group
Torrington, CT 06790
- Reassigned Medicare billing, Connecticut enrollment
- 288 clinicians in this Medicare group
Willimantic, CT 06226
- Reassigned Medicare billing, Connecticut enrollment
- 302 clinicians in this Medicare group
Norwich, CT 06360
- Reassigned Medicare billing, Connecticut enrollment
- 430 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 4
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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jfk Medical Center
Acute Care Hospitals · Edison, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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 Ketankumar Shah's NPI number?
The NPI number for Ketankumar Shah is 1659761948. It was assigned to this individual provider in the NPPES registry on January 26, 2015.
Where is Ketankumar Shah located?
Ketankumar Shah practices at 608 Cinder Rd, Edison, NJ 08820. The listed phone number is (732) 429-5499.
What is Ketankumar Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Ketankumar Shah enrolled in Medicare?
Yes. Ketankumar 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 Ketankumar Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ketankumar Shah reassigns Medicare benefits to 8 organizations: Hospitalist Physicians Of New Jersey PA (Edison, NJ), Optum Medical Care Of New Jersey PC (New Hyde Park, NY), Midstate Medical Center (Meriden, CT), Bristol Hospital Multi Specialty Group, Inc (Bristol, CT), Bristol Hospital Incorporated (Bristol, CT) and 3 more organizations, listed in the Medicare section above. 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 Ketankumar Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ketankumar Shah accept?
Health plans from Anthem Blue Cross and Blue Shield list Ketankumar 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 Ketankumar Shah affiliated with any hospitals?
According to CMS data, Ketankumar Shah is affiliated with Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for Ketankumar Shah was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Ketankumar Shah, MD · NPI 1659761948
Internal Medicine physician in Edison, New Jersey. Individual provider, active in the CMS NPPES registry since January 26, 2015.
## Identity
- **NPI:** 1659761948 (Entity type: Individual)
- **Enumerated:** January 26, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 054281 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 608 CINDER RD, Edison, NJ 08820-3373
- **Phone:** (732) 429-5499
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Hospitalist Physicians Of New Jersey PA (NPI 1588021851, Edison, NJ); Optum Medical Care Of New Jersey PC (NPI 1578665048, New Hyde Park, NY); Midstate Medical Center (NPI 1154425288, Meriden, CT); Bristol Hospital Multi Specialty Group, Inc (NPI 1649265679, Bristol, CT); Bristol Hospital Incorporated (NPI 1619901642, Bristol, CT); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 1, 2015
---
Source: [NPI Profile](https://npiprofile.com/npi/1659761948) · Data from the CMS NPPES public registry.