DR. SUKEN A. SHAH MD
NPI 1932291788
Orthopaedic Surgery in Wilmington, DE

Active since September 29, 2006PECOS EnrolledAccepts Medicare Assignment
1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4200(302) 651-5951 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1932291788
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. SUKEN A. SHAHCredential: MD
Location Address1600 ROCKLAND RDWilmington, DE 19803-3607
Mailing AddressP.o. Box 191Rockland, DE 19723-0191 · (302) 651-4000 · Fax (302) 651-4945
Fax(302) 651-5951
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1994
Enumeration DateSeptember 29, 2006
Last NPPES UpdateMay 15, 2013
NPI 1932291788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in DE · C10005900
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Also ListedOrthopaedic Surgery · Pediatric Orthopaedic SurgeryTaxonomy 207XP3100X · License C10005900 (DE), MD060167L (PA)
Also ListedPediatrics · Sports MedicineTaxonomy 2080S0010X · License MA07075000 (NJ)
1600 ROCKLAND RD, Wilmington, DE 19803

Other Identifiers 9

Medicaid2002247000WV
Medicare UPINH16357
Medicaid20002251NH
Medicaid8205604NJ
Medicaid001794028PA
Medicaid2119139NY
Medicaid7612086NC
Medicare PIN005317T34
Medicaid1112201MD

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

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.

PECOS PAC ID1355443037
PECOS Enrollment IDI20070227000329
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 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.

New Patient
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
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.

Pediatrics (Neonatal-Perinatal Medicine)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Obstetrics & Gynecology
1600 ROCKLAND RD
WILMINGTON, DE 19803
Speech-Language Pathologist
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pediatrics (Pediatric Infectious Diseases)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Radiology (Pediatric Radiology)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Psychologist (Clinical Child & Adolescent)
1600 ROCKLAND RD
WILMINGTON, DE 19803
Nurse Practitioner
1600 ROCKLAND RD
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.

What insurance does Suken Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers 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.