DR. SUKEN A. SHAH MD
NPI 1932291788
Orthopaedic Surgery in Wilmington, DE
About Dr. Suken A. Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUKEN A. SHAH MD (NPI 1932291788) is an individual orthopaedic surgery provider in Wilmington, Delaware, licensed in Delaware (C10005900) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1994).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Suken A. Shah 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.
Medicare Billing Reassignment
Medicare enrollment records show Suken Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- 526 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
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 Suken Shah's NPI number?
The NPI number for Suken Shah is 1932291788. It was assigned to this individual provider in the NPPES registry on September 29, 2006.
Where is Suken Shah located?
Suken Shah practices at 1600 Rockland Rd, Wilmington, DE 19803. The listed phone number is (302) 651-4200.
What is Suken Shah's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Suken Shah enrolled in Medicare?
Yes. Suken 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.
Which organization bills Medicare for Suken Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Suken Shah reassigns Medicare benefits to The Nemours Foundation (Wilmington, DE). 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 Suken Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Suken Shah accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Suken 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 Suken Shah was last updated on May 15, 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.
# Dr. Suken A. Shah, MD · NPI 1932291788
Orthopaedic Surgery physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since September 29, 2006.
## Identity
- **NPI:** 1932291788 (Entity type: Individual)
- **Enumerated:** September 29, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** C10005900 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 ROCKLAND RD, Wilmington, DE 19803-3607
- **Phone:** (302) 651-4200 · **Fax:** (302) 651-5951
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** The Nemours Foundation (NPI 1366594699, Wilmington, DE), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Jefferson Medical College Of Thomas Jefferson University, class of 1994
## Record status
- **NPPES last updated:** May 15, 2013
- **Other identifiers:** Medicaid 2002247000 (WV); Medicare UPIN H16357; Medicaid 20002251 (NH); and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1932291788) · Data from the CMS NPPES public registry.