DR. SANJAY SHAH M.D.
NPI 1689604035
Internal Medicine in Fayetteville, NC

Q: What is Sanjay Shah's NPI number?

The NPI number for Sanjay Shah is 1689604035. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Sanjay Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sanjay Shah was last updated on June 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

1218 WALTER REED RD, FAYETTEVILLE, NC 28304(910) 323-1671(910) 323-9656 Get Directions Write a Review

NPPES record last updated: June 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 20, 2019, Sep 15, 2016 (2 updates tracked since 2016).

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About Dr. Sanjay Shah M.d. NPPES

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

DR. SANJAY SHAH M.D. (NPI 1689604035) is an individual internal medicine provider in Fayetteville, North Carolina, licensed in North Carolina (9801484) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1689604035

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. SANJAY SHAHCredential: M.D.

Location Address1218 WALTER REED RDFayetteville, NC 28304-4440

Mailing AddressAttn. Managed Care Planning, Po Box 40908Fayetteville, NC 28309 · (910) 615-6949 · Fax (910) 615-9761

Phone(910) 323-1671

Fax(910) 323-9656

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateJuly 3, 2006

Last NPPES UpdateJune 20, 20192 updates tracked since enumeration

✔ NPI 1689604035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NC · 9801484

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedAnesthesiology · Hospice and Palliative MedicineTaxonomy 207LH0002X · License 9801484 (NC)

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 9801484 (NC)

1218 WALTER REED RD, Fayetteville, NC 28304

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Other Identifiers 2

Other390007497NC · Medicare Railroad

Medicaid8911560NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

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

Dr. Sanjay 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 ID8628075769

PECOS Enrollment IDI20080326000703

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.

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

77 services77 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

37 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

29 services28 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

29 services11 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Cape Fear Valley Medical Center

Acute Care Hospitals · Fayetteville, NC

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340028

Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County

Emergency services Birthing friendly

Betsy Johnson Regional Hospital

Acute Care Hospitals · Dunn, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340071

Location800 Tilghman DrDunn, NC 28334 · Harnett County

Emergency services

Cape Fear Valley Hoke Hospital

Acute Care Hospitals · Raeford, NC

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340188

Location210 Medical Pavilion DriveRaeford, NC 28376 · Hoke County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ERIC ALFONSO WALKER JR.

Internal Medicine