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MR. SYED IMRAN SHAH DDS
NPI 1770966079
Dentist - General Practice in Princess Anne, MD

Active since July 04, 2015PECOS Enrolled
12165 ELM ST, PRINCESS ANNE, MD 21853(410) 651-5151(410) 651-4256 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Sep 14, 2016 (2 updates tracked since 2016).

About Mr. Syed Imran Shah Dds NPPES

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

MR. SYED IMRAN SHAH DDS (NPI 1770966079) is an individual general practice provider in Princess Anne, Maryland, licensed in Maryland (18640) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770966079
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMR. SYED IMRAN SHAHCredential: DDS
Location Address12165 ELM STPrincess Anne, MD 21853-1358
Mailing AddressPo Box 1978Salisbury, MD 21802-1978 · (410) 749-1015 · Fax (410) 749-0654
Phone(410) 651-5151
Fax(410) 651-4256
Sole ProprietorNo
Enumeration DateJuly 4, 2015
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1770966079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in MD · 18640
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License DS041051 (PA)
12165 ELM ST, Princess Anne, MD 21853
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 Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Syed Imran Shah Dds 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21853 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

MISS ROSHNI MINHAS DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. ROBERT MARK SCHULZ DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. CELESTE MARIE ZIARA DDS
Dentist
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. ARIEL KARYN SNELL DMD
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. REEVES VARGHESE MANIKAT DMD
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. TRENT JOHNSON DMD
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. TAMMARA MARIE BELL DDS
Dentist (Pediatric Dentistry)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151
DR. PATRICK RAYMOND HOLMLUND DDS
Dentist (General Practice)
12165 ELM ST
PRINCESS ANNE, MD 21853
Somerset County (410) 651-5151

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 Syed Shah's NPI number?

The NPI number for Syed Shah is 1770966079. It was assigned to this individual provider in the NPPES registry on July 4, 2015.

Where is Syed Shah located?

Syed Shah practices at 12165 Elm St, Princess Anne, MD 21853. The listed phone number is (410) 651-5151.

What is Syed Shah's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Syed Shah enrolled in Medicare?

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

What insurance does Syed Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 16 other insurers list Syed 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.

When was this NPI record last updated?

The NPPES record for Syed Shah was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.