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NILESH SHAH MD
NPI 1962458190
Family Medicine - Sports Medicine in Akron, OH

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
20 OLIVE ST STE 201, AKRON, OH 44310(330) 379-5051(330) 379-5074 Get Directions Write a Review

NPPES record last updated: August 15, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nilesh Shah Md NPPES

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

NILESH SHAH MD (NPI 1962458190) is an individual sports medicine provider in Akron, Ohio, licensed in Ohio (35-076963) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Summa Health System, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (1994).

NPPES Registry Identity

NPI1962458190
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameNILESH SHAHCredential: MD
Location Address20 OLIVE ST STE 201Akron, OH 44310-3169
Mailing Address20 Olive St Ste 201Akron, OH 44310-3169 · (330) 379-5051 · Fax (330) 379-5074
Phone(330) 379-5051
Fax(330) 379-5074
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 1994
Enumeration DateMay 26, 2006
Last NPPES UpdateAugust 15, 2011
✔ NPI 1962458190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in OH · 35-076963
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
20 OLIVE ST STE 201, Akron, OH 44310
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Other Identifiers 3

Medicare UPINH88769
Medicaid2458165OH
Medicare ID-Type UnspecifiedSH4111752OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Nilesh 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 ID4385635846
PECOS Enrollment IDI20040521001306
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 10

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.

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
205 services73 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
90 services67 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
60 services34 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
37 services26 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
33 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients

Hospital Affiliations CMS Care Compare

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

Summa Health System

Acute Care Hospitals · Akron, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360020
Location525 East Market StreetAkron, OH 44309 · Summit County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44310 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Nilesh Shah's NPI number?

The NPI number for Nilesh Shah is 1962458190. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Nilesh Shah located?

Nilesh Shah practices at 20 Olive St Ste 201, Akron, OH 44310. The listed phone number is (330) 379-5051.

What is Nilesh Shah's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Nilesh Shah enrolled in Medicare?

Yes. Nilesh 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 Nilesh Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and MedMutual and 2 other insurers list Nilesh 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 Nilesh Shah affiliated with any hospitals?

According to CMS data, Nilesh Shah is affiliated with Summa Health System.

When was this NPI record last updated?

The NPPES record for Nilesh Shah was last updated on August 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.