MR. KETAN MAHENDRA SHAH PMHNP-BC
NPI 1689959900
Nurse Practitioner - Psychiatric/Mental Health in Wheaton, IL

Q: What is Ketan Shah's NPI number?

The NPI number for Ketan Shah is 1689959900. It was assigned to this individual provider in the NPPES registry on October 18, 2011.

Q: What is Ketan Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ketan Shah was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 18, 2011PECOS EnrolledAccepts Medicare Assignment

111 N COUNTY FARM RD, WHEATON, IL 60187(630) 682-7400 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Mr. Ketan Mahendra Shah Pmhnp-bc NPPES

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

MR. KETAN MAHENDRA SHAH PMHNP-BC (NPI 1689959900) is an individual psychiatric/mental health provider in Wheaton, Illinois, licensed in Illinois (209008868) and active in the NPI registry since October 2011. He is enrolled in Medicare PECOS and is a graduate of Rush Medical College Of Rush University (2010).

NPPES Registry Identity

NPI1689959900

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. KETAN MAHENDRA SHAHCredential: PMHNP-BC

Location Address111 N COUNTY FARM RDWheaton, IL 60187-3977

Mailing Address111 N County Farm RdWheaton, IL 60187-3977

Phone(630) 682-7400

Sole ProprietorNo

Medical School CMSRush Medical College Of Rush UniversityGraduated 2010

Enumeration DateOctober 18, 2011

Last NPPES UpdateOctober 5, 2021

NPPES CertifiedOctober 5, 2021

✔ NPI 1689959900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IL · 209008868

111 N COUNTY FARM RD, Wheaton, IL 60187

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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

Mr. Ketan Mahendra Shah Pmhnp-bc 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 ID8921252925

PECOS Enrollment IDI20130128000528

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 Ketan Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Dupage Department Of Health

Same address

Mental Health (Including Community Mental Health Center)

111 N COUNTY FARM RD
Wheaton, IL 60187

Reassigned Medicare billing, Illinois enrollment
63 clinicians in this Medicare group

NPI 1134110786 (630) 682-7400

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.

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.

338 services101 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.

59 services42 patients

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60187 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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.

ANGELA D MILLER

Case Manager/Care Coordinator