NEEL SHAH MD
NPI 1720258114
Pediatrics in Baton Rouge, LA
NPI Status: Active since March 03, 2008
Contact Information
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
Phone: (225) 374-1410
Fax: (225) 374-1616
- Individual
- Male
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About NEEL SHAH
This page provides the complete NPI Profile along with additional information for Neel Shah, a pediatrician established in Baton Rouge, Louisiana with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1720258114 assigned on March 2008. The practitioner's primary taxonomy code is 208000000X with license number MD.202980 (LA). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1720258114
- Provider Name
- NEEL SHAH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 8300 CONSTANTIN BLVD BATON ROUGE, LA 70809
- Location Phone
- (225) 374-1410
- Location Fax
- (225) 374-1616
- Mailing Address
- 5959 S SHERWOOD FOREST BLVD BATON ROUGE, LA 70816
- Mailing Phone
- (225) 765-5727
- Mailing Fax
- (225) 374-1616
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-03-2008
- Last Update Date
- 04-07-2021
- Code Navigator
A pediatrician like Neel Shah is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD.202980
- License State
- LA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0204X | Allopathic & Osteopathic Physicians | Pediatrics | MD.202980 (LA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue POS 60/40 $6500 - POS
- Blue POS 70/50 $4550 - POS
- Blue POS 80/60 $3200 - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 - POS
- Precision Blue 80/60 $3200 (BR) - POS
- Precision Blue 80/60 $3200 (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (M) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (BR) - POS
- Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (M) - POS
- Signature Blue 80/60 $3200 - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan - POS
- Signature Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1508373 | MEDICAID (05) | LA |
Medicare Participation & PECOS Enrollment Status
Neel Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 70809 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.6
- Minimum New Patient Price $53.43
- Maximum New Patient Price $164.73
- Average New Patient Copayment $20.9
- Minimum New Patient Copayment $13.35
- Maximum New Patient Copayment $41.18
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $95.09
- Minimum Established Patient Price $16.64
- Maximum Established Patient Price $133.62
- Average Established Patient Copayment $23.77
- Minimum Established Patient Copayment $4.16
- Maximum Established Patient Copayment $33.4
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 2 | 0 | 2 | 5 | 8 | 1 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 5 | 16 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 5 + 1 + 6 + 1 + 2 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1720258114 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. LACEY JANE CLARK
Pediatrics
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
GOLNAZ SADEGHIANI DO
Student in an Organized Health Care Education/Training Program
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
KAREN NUNNERY
Nurse Practitioner
(Neonatal)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
MR. DALE MICHAEL SANDERSON N.P.
Nurse Practitioner
(Neonatal)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
MISTY M STEWART NNP
Nurse Practitioner
(Neonatal)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
MR. MICHAEL HENRY TRUAX JR. MD
Emergency Medicine
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
ALICIA GABRIELE CHAUTIN MD
Emergency Medicine
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
AMY WOOD MD
Pediatrics
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
DR. ERIN BEADLE LAMBERT MD
Emergency Medicine
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
EMILY RICHARD LANDRY M.D.
Pediatrics
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
ALEXANDER FLOOD
Emergency Medicine
(Pediatric Emergency Medicine)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
DR. ELIZABETH BALHOFF LINDSAY M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
DR. RICHARD FRANCIS LASSEIGNE JR. MD
Pediatrics
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
STEPHEN LITTLEFIELD BEASLEY M.D.
Pediatrics
(Pediatric Emergency Medicine)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
EMILY BAIN PA-C
Physician Assistant
(Surgical)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
MRS. EMILY CAILLET BEST FNP
Nurse Practitioner
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
AMANDA BRASSETT CAMEL NP
Nurse Practitioner
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
DR. ANGELLE L. KLAR M.D.
Pediatrics
(Neonatal-Perinatal Medicine)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
BRADEN WENTER MCINTOSH MD
Emergency Medicine
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
MS. REBECCA ELLEN HOOK
Emergency Medicine
(Pediatric Emergency Medicine)
8300 CONSTANTIN BLVD
BATON ROUGE, LA
ZIP 70809
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720258114, enumerated as an "individual" on March 03, 2008.
The provider is located at 8300 CONSTANTIN BLVD BATON ROUGE, LA 70809 and the phone number is (225) 374-1410.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: HMO Louisiana, Molina Healthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.
