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SIDDHARTH ASHOKKUMAR SHAH M.D.
NPI 1720213689
Pediatrics - Pediatric Nephrology in Louisville, KY

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
411 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 588-4970(502) 588-7713 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 27, 2020, Jun 30, 2020, Mar 11, 2020 (3 updates tracked since 2020).

About Siddharth Ashokkumar Shah M.d. NPPES

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

SIDDHARTH ASHOKKUMAR SHAH M.D. (NPI 1720213689) is an individual pediatric nephrology provider in Louisville, Kentucky, licensed in Kentucky (46307) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Norton Hospitals, Inc, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720213689
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameSIDDHARTH ASHOKKUMAR SHAHCredential: M.D.
Location Address411 E CHESTNUT STLouisville, KY 40202-1713
Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 588-4970
Fax(502) 588-7713
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 21, 2009
Last NPPES UpdateOctober 27, 20203 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1720213689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in KY · 46307
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
411 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Siddharth Ashokkumar 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 ID9931340031
PECOS Enrollment IDI20130801000668
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 Reassignments

2

Medicare enrollment records show Siddharth Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Physicians, Inc.
Same address
Neurology
401 E CHESTNUT ST, SUITE 510
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 2,337 clinicians in this Medicare group
NPI 1063778744 (502) 589-0802
Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims2,610 services$0.31 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims1,520 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers12 claims12 services$18.95 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims18 services$12.66 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.

PATRICIA GAIL WILLIAMS MD
Pediatrics (Developmental - Behavioral Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
MS. KIMBERLY LYNNE HALL DNP FNP-BC
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201
MS. ANN ELIZABETH LORIMER PA-C
Physician Assistant
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-7600
AMANDA BRIAN ROGERS MD
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3650
HALLEY STEWART GC
Genetic Counselor, MS
411 E CHESTNUT ST, LEVEL 2
LOUISVILLE, KY 40202
Jefferson County (502) 588-0850
DR. MARY E FALLAT M.D.
Surgery (Pediatric Surgery)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
JESSICA RAY COLEMAN APRN
Nurse Practitioner (Family)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-3400
ALICE BOOS-EDWARDS APRN
Nurse Practitioner (Pediatrics)
411 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-2201

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 Siddharth Shah's NPI number?

The NPI number for Siddharth Shah is 1720213689. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Siddharth Shah located?

Siddharth Shah practices at 411 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 588-4970.

What is Siddharth Shah's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Siddharth Shah enrolled in Medicare?

Yes. Siddharth 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 Siddharth Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Siddharth Shah reassigns Medicare benefits to 2 organizations: University Of Louisville Physicians, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Siddharth Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Siddharth Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter of Tennessee and CareSource list Siddharth 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 Siddharth Shah affiliated with any hospitals?

According to CMS data, Siddharth Shah is affiliated with Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Siddharth Shah was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.