ABHAY R SHELKE MD
NPI 1861682916
Internal Medicine - Hematology & Oncology in Toledo, OH

Active since July 25, 2007PECOS EnrolledAccepts Medicare Assignment
3404 W SYLVANIA AVE, TOLEDO, OH 43623(419) 517-1200 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abhay R Shelke Md NPPES

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

ABHAY R SHELKE MD (NPI 1861682916) is an individual hematology & oncology provider in Toledo, Ohio, licensed in Ohio (35121941) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1861682916
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameABHAY R SHELKECredential: MD
Location Address3404 W SYLVANIA AVEToledo, OH 43623-4467
Mailing Address2200 Jefferson AveToledo, OH 43604-7101
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateJuly 25, 2007
Last NPPES UpdateAugust 28, 2014
NPI 1861682916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in OH · 35121941
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3404 W SYLVANIA AVE, Toledo, OH 43623

Other Identifiers 2

Medicaid0088972OH
Medicare UPINH237770OH

Accepted 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

Abhay R Shelke 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 ID446412225
PECOS Enrollment IDI20130918000733
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 8

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 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.
410 services188 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.
332 services119 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.
306 services162 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
227 services47 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
94 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
88 services86 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Community Hospitals And Wellness Centers

Acute Care Hospitals · Bryan, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360121
Location433 West High StreetBryan, OH 43506 · Williams County
Birthing friendly

Mercy Health - Defiance Hospital

Acute Care Hospitals · Defiance, OH
4/5 CMS rating
OwnershipProprietary
CMS Certification Number360270
Location1404 East Second StreetDefiance, OH 43512 · Defiance County
Emergency services

Henry County Hospital, Inc

Critical Access Hospitals · Napoleon, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361309
Location1600 East Riverview AvenueNapoleon, OH 43545 · Henry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Pharmacist
3404 W SYLVANIA AVE
TOLEDO, OH 43623
Nurse Practitioner (Family)
3404 W SYLVANIA AVE
TOLEDO, OH 43623
General Acute Care Hospital
3404 W SYLVANIA AVE
TOLEDO, OH 43623
Emergency Medicine
3404 W SYLVANIA AVE
TOLEDO, OH 43623
Nurse Practitioner
3404 W SYLVANIA AVE
TOLEDO, OH 43623
Anesthesiology
3404 W SYLVANIA AVE
TOLEDO, OH 43623
Pharmacist
3404 W SYLVANIA AVE
TOLEDO, OH 43623
Pharmacist
3404 W SYLVANIA AVE
TOLEDO, OH 43623

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 Abhay Shelke's NPI number?

The NPI number for Abhay Shelke is 1861682916. It was assigned to this individual provider in the NPPES registry on July 25, 2007.

Where is Abhay Shelke located?

Abhay Shelke practices at 3404 W Sylvania Ave, Toledo, OH 43623. The listed phone number is (419) 517-1200.

What is Abhay Shelke's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Abhay Shelke enrolled in Medicare?

Yes. Abhay Shelke 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.

What insurance does Abhay Shelke accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community, MedMutual and Molina Healthcare and 1 other insurer list Abhay Shelke 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 Abhay Shelke affiliated with any hospitals?

According to CMS data, Abhay Shelke is affiliated with Promedica Toledo Hospital, Mercy St Vincent Medical Center, Community Hospitals And Wellness Centers, Mercy Health - Defiance Hospital and Henry County Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Abhay Shelke was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.