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KUNJESH PARESH SHAH MD
NPI 1720287386
Family Medicine in Utica, MI

Active since July 13, 2007PECOS EnrolledAccepts Medicare Assignment
45569 VAN DYKE AVE STE 3, UTICA, MI 48317(586) 258-8791(586) 799-4474 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kunjesh Paresh Shah Md NPPES

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

KUNJESH PARESH SHAH MD (NPI 1720287386) is an individual family medicine provider in Utica, Michigan, licensed in Michigan (4301090856) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1720287386
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKUNJESH PARESH SHAHCredential: MD
Location Address45569 VAN DYKE AVE STE 3Utica, MI 48317-5617
Mailing Address45569 Van Dyke Ave Ste 3Utica, MI 48317-5617 · (586) 258-8791 · Fax (586) 799-4474
Phone(586) 258-8791
Fax(586) 799-4474
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 13, 2007
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1720287386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · 4301090856
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 4301090856 (MI)
45569 VAN DYKE AVE STE 3, Utica, MI 48317
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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

Kunjesh Paresh Shah Md 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 ID840472296
PECOS Enrollment IDI20110307000961
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 Kunjesh Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Ford Macomb Hospital Corporation
3.9 mi
Hospice and Palliative Medicine
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 556 clinicians in this Medicare group
NPI 1598802936 (586) 263-2230
Henry Ford Heath System
18 mi
Vascular & Interventional Radiology
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Health System
  • 1,886 clinicians in this Medicare group
NPI 1013119817 (313) 916-2600

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 4

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 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.
125 services112 patients
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.
69 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
17 services17 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Henry Ford Health Hospital

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230053
Location2799 W Grand BlvdDetroit, MI 48202 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48317 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Kunjesh Shah's NPI number?

The NPI number for Kunjesh Shah is 1720287386. It was assigned to this individual provider in the NPPES registry on July 13, 2007.

Where is Kunjesh Shah located?

Kunjesh Shah practices at 45569 Van Dyke Ave Ste 3, Utica, MI 48317. The listed phone number is (586) 258-8791.

What is Kunjesh Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kunjesh Shah enrolled in Medicare?

Yes. Kunjesh 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 Kunjesh Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kunjesh Shah reassigns Medicare benefits to 2 organizations: Henry Ford Macomb Hospital Corporation (Clinton Township, MI) and Henry Ford Heath System (Detroit, MI). 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 Kunjesh Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kunjesh Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Kunjesh 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 Kunjesh Shah affiliated with any hospitals?

According to CMS data, Kunjesh Shah is affiliated with Henry Ford Macomb Hospital and Henry Ford Health Hospital.

When was this NPI record last updated?

The NPPES record for Kunjesh Shah was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.