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KAUSTAV SHAH
NPI 1902483605
Internal Medicine in Philadelphia, PA

Active since March 27, 2021PECOS EnrolledAccepts Medicare Assignment
3400 SPRUCE ST FL MALONEY5, PHILADELPHIA, PA 19104(215) 662-3797 Get Directions Write a Review

NPPES record last updated: September 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2024, Mar 27, 2021 (2 updates tracked since 2021).

About Kaustav Shah NPPES

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

KAUSTAV SHAH (NPI 1902483605) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (484199) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Hospital Of Univ Of Pennsylvania, and is a graduate of Vanderbilt University School Of Medicine (2021).

NPPES Registry Identity

NPI1902483605
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKAUSTAV SHAH
Location Address3400 SPRUCE ST FL MALONEY5Philadelphia, PA 19104-4238
Mailing Address3400 Spruce St Fl Maloney5Philadelphia, PA 19104-4238 · (215) 662-3797
Phone(215) 662-3797
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2021
Enumeration DateMarch 27, 2021
Last NPPES UpdateSeptember 18, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2024
✔ NPI 1902483605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · 484199
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.
3400 SPRUCE ST FL MALONEY5, Philadelphia, PA 19104
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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

Kaustav Shah 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 ID4789123688
PECOS Enrollment IDI20240822004579
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.

Hospital Affiliations CMS Care Compare

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

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 Kaustav Shah's NPI number?

The NPI number for Kaustav Shah is 1902483605. It was assigned to this individual provider in the NPPES registry on March 27, 2021.

Where is Kaustav Shah located?

Kaustav Shah practices at 3400 Spruce St Fl Maloney5, Philadelphia, PA 19104. The listed phone number is (215) 662-3797.

What is Kaustav Shah's specialty?

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

Is Kaustav Shah enrolled in Medicare?

Yes. Kaustav 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.

Is Kaustav Shah affiliated with any hospitals?

According to CMS data, Kaustav Shah is affiliated with Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Kaustav Shah was last updated on September 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.