DR. BHUMIK SHAH M.D.
NPI 1689938797
Hospitalist in Philadelphia, PA
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 hospitalist 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
Specialties & Licenses
Secondary Practice Locations 3
Other Identifiers 1
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show Bhumik Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19111
- Reassigned Medicare billing, Pennsylvania enrollment
- 447 clinicians in this Medicare group
Baltimore, MD 21239
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 clinicians in this Medicare group
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- 349 clinicians in this Medicare group
Peoria, IL 61636
- Reassigned Medicare billing, Illinois enrollment
- 693 clinicians in this Medicare group
Pekin, IL 61554
- Reassigned Medicare billing, Illinois enrollment
- 142 clinicians in this Medicare group
Bismarck, ND 58504
- Reassigned Medicare billing, North Dakota enrollment
- 779 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 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.
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, NDPhysician 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.
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.
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.
PHILADELPHIA, PA 19111
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 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.
Where is Bhumik Shah located?
Bhumik Shah practices at 7600 Central Ave, Philadelphia, PA 19111. The listed phone number is (215) 728-2275.
What is Bhumik Shah's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Bhumik Shah enrolled in Medicare?
Yes. Bhumik 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 Bhumik Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bhumik Shah reassigns Medicare benefits to 6 organizations: Temple Physicians Inc. (Philadelphia, PA), Medstar Medical Group II LLC (Baltimore, MD), Proctor Health Systems (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL), Pekin Prohealth Inc (Pekin, IL) and 1 more organization, 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 Bhumik Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bhumik Shah accept?
Health plans from Ambetter Health, Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Bhumik 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 Bhumik Shah affiliated with any hospitals?
According to CMS data, Bhumik Shah is affiliated with Sanford Medical Center Bismarck.
When was this NPI record last updated?
The NPPES record for Bhumik Shah was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.
# Dr. Bhumik Shah, M.D. · NPI 1689938797
Hospitalist physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 3, 2012.
## Identity
- **NPI:** 1689938797 (Entity type: Individual)
- **Enumerated:** July 3, 2012
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD487253 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7600 CENTRAL AVE, Philadelphia, PA 19111-2442
- **Phone:** (215) 728-2275
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Temple Physicians Inc. (NPI 1073664249, Philadelphia, PA); Medstar Medical Group II LLC (NPI 1184046187, Baltimore, MD); Proctor Health Systems (NPI 1134173917, Peoria, IL); Methodist Medical Center Of Illinois (NPI 1275583155, Peoria, IL); Pekin Prohealth Inc (NPI 1932150299, Pekin, IL); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 7, 2026
- **Other identifiers:** Other 125061399 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1689938797) · Data from the CMS NPPES public registry.