DR. DINESH C SHAH MD
NPI 1962427161
Emergency Medicine in Plymouth, IN
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
Specialties & Licenses
Secondary Practice Locations 2
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. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Dinesh Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Anne, IL 60964
- Reassigned Medicare billing, Illinois enrollment
- 78 clinicians in this Medicare group
Harrisburg, IL 62946
- Reassigned Medicare billing, Illinois enrollment
- 169 clinicians in this Medicare group
Christiansted, St. Croix, VI 00821
- Reassigned Medicare billing, U.S. Virgin Islands enrollment
- 331 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.
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.
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, ILPhysician 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.
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.
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.
PLYMOUTH, IN 46563
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.
Which organizations bill Medicare for Dinesh Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dinesh Shah reassigns Medicare benefits to 3 organizations: Iroquois Memorial Hospital And Resident Home (Saint Anne, IL), Statera Health Care, LLC (Harrisburg, IL) and Governor Juan F. Luis Hospital & Medical Center (Christiansted, St. Croix, VI). Each 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 Dinesh Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 3 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. Dinesh C Shah, MD · NPI 1962427161
Emergency Medicine physician in Plymouth, Indiana. Individual provider, active in the CMS NPPES registry since July 12, 2006.
## Identity
- **NPI:** 1962427161 (Entity type: Individual)
- **Enumerated:** July 12, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 01042576A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1915 LAKE AVE, Plymouth, IN 46563
- **Phone:** (575) 935-2521 · **Fax:** (574) 935-2250
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Iroquois Memorial Hospital And Resident Home (NPI 1215650528, Saint Anne, IL); Statera Health Care, LLC (NPI 1043874449, Harrisburg, IL); Governor Juan F. Luis Hospital & Medical Center (NPI 1972503647, Christiansted, St. Croix, VI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1980
## Record status
- **NPPES last updated:** August 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1962427161) · Data from the CMS NPPES public registry.