DR. BHUMIK SHAH M.D.
NPI 1689938797
Internal Medicine in Philadelphia, PA

Q: What is Bhumik Shah's NPI number?

The NPI number for Bhumik Shah is 1689938797. It was assigned to this individual provider in the NPPES registry on July 3, 2012.

Q: What is Bhumik 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 Bhumik Shah was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 03, 2012PECOS EnrolledAccepts Medicare Assignment

7600 CENTRAL AVE, PHILADELPHIA, PA 19111(215) 728-2275 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2024, Mar 17, 2018, Oct 31, 2017 (3 updates tracked since 2017).

On this page

About Dr. Bhumik Shah M.d. NPPES

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

DR. BHUMIK SHAH M.D. (NPI 1689938797) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD487253) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Bismarck, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1689938797

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. BHUMIK SHAHCredential: M.D.

Location Address7600 CENTRAL AVEPhiladelphia, PA 19111-2442

Mailing Address3500 N Broad St Rm 1aPhiladelphia, PA 19140-4106 · (215) 926-9019

Phone(215) 728-2275

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 3, 2012

Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1689938797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in PA · MD487253✔ Licensed in GA · 078275✔ Licensed in TX · Q4691

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 ListedHospitalistTaxonomy 208M00000X · License 078275 (GA)

7600 CENTRAL AVE, Philadelphia, PA 19111

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Secondary Practice Locations 3

Location 11900 Pine StAbilene, TX 79601-2432 · Phone (325) 670-2000

Location 28954 Hospital DrDouglasville, GA 30134-2272 · Phone (678) 838-2585 · Fax (678) 838-2587

Location 335 Collier Rd NW Ste 635Atlanta, GA 30309-1611 · Phone (404) 367-3014

Other Identifiers 1

Other125061399IL · Physician Temporary License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.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. Bhumik 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 ID8527373711

PECOS Enrollment IDI20151207000393

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 3

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.

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.

344 services98 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

76 services75 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.

27 services27 patients

Hospital Affiliations CMS Care Compare

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

Sanford Medical Center Bismarck

Acute Care Hospitals · Bismarck, ND

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350015

Location300 N 7th StBismarck, ND 58506 · Burleigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19111 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier21 claims21 services$89.85 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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