DR. SIDRA REHAN SHAH DO
NPI 1790364263
Internal Medicine in Louisville, KY

Q: What is Sidra Shah's NPI number?

The NPI number for Sidra Shah is 1790364263. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Q: What is Sidra Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Sidra Shah was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 03, 2021PECOS EnrolledAccepts Medicare Assignment

530 S JACKSON ST, LOUISVILLE, KY 40202(502) 852-5689 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2024, Apr 3, 2021 (2 updates tracked since 2021).

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About Dr. Sidra Rehan Shah Do NPPES

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

DR. SIDRA REHAN SHAH DO (NPI 1790364263) is an individual internal medicine provider in Louisville, Kentucky, licensed in Kentucky (TP232) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Grand Lake Health System, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790364263

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameDR. SIDRA REHAN SHAHCredential: DO

Location Address530 S JACKSON STLouisville, KY 40202-1675

Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0330

Phone(502) 852-5689

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateApril 3, 2021

Last NPPES UpdateJune 5, 20242 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1790364263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in KY · TP232

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

530 S JACKSON ST, Louisville, KY 40202

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Sidra Rehan Shah Do 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 ID3971904582

PECOS Enrollment IDI20240903003230

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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

60 services35 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

35 services19 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

22 services21 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

19 services19 patients

Hospital Affiliations CMS Care Compare 4

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

Grand Lake Health System

Acute Care Hospitals · Saint Marys, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360032

Location200 Saint Clair StreetSaint Marys, OH 45885 · Auglaize County

Emergency services Birthing friendly

Mercer County Joint Township Community Hospital

Acute Care Hospitals · Coldwater, OH

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number360058

Location800 West Main StreetColdwater, OH 45828 · Mercer County

Birthing friendly

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360066

Location730 West Market StreetLima, OH 45801 · Allen County

Emergency services Birthing friendly

Mercy Health - Tiffin Hospital

Acute Care Hospitals · Tiffin, OH

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360089

Location45 St Lawrence DriveTiffin, OH 44883 · Seneca County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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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.

KARI BETH CHRISTIE MD

Anesthesiology