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DR. SHETAL SHAH
NPI 1730121997
Specialist in Stony Brook, NY

Active since June 12, 2006PECOS Enrolled
UNIVERSITY HOSPITAL, L8, STONY BROOK, NY 11794(631) 444-7653 Get Directions Write a Review

NPPES record last updated: February 25, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Shetal Shah NPPES

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

DR. SHETAL SHAH (NPI 1730121997) is an individual specialist in Stony Brook, New York, licensed in New York (229769) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730121997
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. SHETAL SHAH
Location AddressUNIVERSITY HOSPITAL, L8Stony Brook, NY 11794-0001
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989
Phone(631) 444-7653
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateFebruary 25, 2013
✔ NPI 1730121997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 229769
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
UNIVERSITY HOSPITAL, L8, Stony Brook, NY 11794
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Other Identifiers 1

Medicare PINA400023659NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shetal Shah is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

Boston Children's Health Physicians, LLP
39 mi
Pediatrics
19 SKYLINE DR OFC 1N-D06
Hawthorne, NY 10532
  • Reassigned Medicare billing, New York enrollment
  • 511 clinicians in this Medicare group
NPI 1467454967 (914) 594-2100

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. PATRICIA SCHWARZ N.P.
Nurse Practitioner (Neonatal)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
MS. DEBRA SANSOUCIE N.P.
Nurse Practitioner (Neonatal)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
MS. PATRICIA MELE N.P.
Nurse Practitioner (Neonatal)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
MS. PAMELA MINETT N.P.
Nurse Practitioner (Neonatal)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
DR. SHANTHY SRIDHAR M.D.
Pediatrics (Neonatal-Perinatal Medicine)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
MS. CLAUDIA HERBERT N.P.
Nurse Practitioner (Neonatal)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653
DR. JILA SHARIF M.D.
Pediatrics (Neonatal-Perinatal Medicine)
UNIVERSITY HOSPITAL, L8
STONY BROOK, NY 11794
Suffolk County (631) 444-7653

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 Shetal Shah's NPI number?

The NPI number for Shetal Shah is 1730121997. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Shetal Shah located?

Shetal Shah practices at University Hospital, L8, Stony Brook, NY 11794. The listed phone number is (631) 444-7653.

What is Shetal Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Shetal Shah enrolled in Medicare?

Yes. Shetal Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shetal Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shetal Shah reassigns Medicare benefits to Boston Children's Health Physicians, LLP (Hawthorne, NY). The 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 Shetal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shetal Shah was last updated on February 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.