DR. DINESH C SHAH MD
NPI 1962427161
Emergency Medicine in Plymouth, IN

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1915 LAKE AVE, PLYMOUTH, IN 46563(575) 935-2521(574) 935-2250 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2023, Jul 22, 2022, Oct 13, 2020 (3 updates tracked since 2020).

About Dr. Dinesh C Shah Md NPPES

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

DR. DINESH C SHAH MD (NPI 1962427161) is an individual emergency medicine provider in Plymouth, Indiana, licensed in Indiana (01042576A) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Iroquois Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962427161
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DINESH C SHAHCredential: MD
Location Address1915 LAKE AVEPlymouth, IN 46563
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(574) 935-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateJuly 12, 2006
Last NPPES UpdateAugust 22, 20233 updates tracked since enumeration
NPPES CertifiedAugust 22, 2023
NPI 1962427161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in IN · 01042576A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1915 LAKE AVE, Plymouth, IN 46563

Secondary Practice Locations 2

Location 11300 S Jackson StFrankfort, IN 46041-3313 · Phone (765) 656-3000
Location 2200 E Fairman AveWatseka, IL 60970-1644 · Phone (815) 432-5841

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. Dinesh C 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 ID3476542770
PECOS Enrollment IDI20110927000577
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
45 services44 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services20 patients

Hospital Affiliations CMS Care Compare

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

Iroquois Memorial Hospital

Critical Access Hospitals · Watseka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141353
Location200 Fairman StreetWatseka, IL 60970 · Iroquois County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46563 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1915 LAKE AVE
PLYMOUTH, IN 46563
Dietitian, Registered
1915 LAKE AVE
PLYMOUTH, IN 46563
Radiology (Radiation Oncology)
1915 LAKE AVE
PLYMOUTH, IN 46563
Emergency Medicine
1915 LAKE AVE
PLYMOUTH, IN 46563
General Acute Care Hospital
1915 LAKE AVE
PLYMOUTH, IN 46563
Nurse Practitioner (Family)
1915 LAKE AVE
PLYMOUTH, IN 46563
Internal Medicine
1915 LAKE AVE
PLYMOUTH, IN 46563
Nurse Practitioner
1915 LAKE AVE
PLYMOUTH, IN 46563

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 Dinesh Shah's NPI number?

The NPI number for Dinesh Shah is 1962427161. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Dinesh Shah located?

Dinesh Shah practices at 1915 Lake Ave, Plymouth, IN 46563. The listed phone number is (575) 935-2521.

What is Dinesh Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dinesh Shah enrolled in Medicare?

Yes. Dinesh 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 Dinesh Shah accept?

Health plans from CareSource list Dinesh 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.

Is Dinesh Shah affiliated with any hospitals?

According to CMS data, Dinesh Shah is affiliated with Iroquois Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Dinesh Shah was last updated on August 22, 2023. 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.