1. Home
  2. Directory
  3. Virginia
  4. Chesapeake
  5. Hospitalist
  6. NPI Profile

DR. PRATIKKUMAR ASWINKUMAR SHETH M.D., M.P.H.
NPI 1962711069
Hospitalist in Chesapeake, VA

Active since October 07, 2010PECOS EnrolledAccepts Medicare Assignment
736 BATTLEFIELD BLVD N, CHESAPEAKE, VA 23320(757) 967-8622(757) 686-0541 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Pratikkumar Aswinkumar Sheth M.d., M.p.h. NPPES

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

DR. PRATIKKUMAR ASWINKUMAR SHETH M.D., M.P.H. (NPI 1962711069) is an individual hospitalist provider in Chesapeake, Virginia, licensed in Maryland (D81956) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in Hagerstown.

NPPES Registry Identity

NPI1962711069
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. PRATIKKUMAR ASWINKUMAR SHETHCredential: M.D., M.P.H.
Location Address736 BATTLEFIELD BLVD NChesapeake, VA 23320-4941
Mailing AddressPo Box 7068Portsmouth, VA 23707-0068 · (757) 967-8622 · Fax (757) 686-0541
Phone(757) 967-8622
Fax(757) 686-0541
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateOctober 7, 2010
Last NPPES UpdateAugust 3, 2022
NPPES CertifiedAugust 3, 2022
✔ NPI 1962711069 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in MD · D81956
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
736 BATTLEFIELD BLVD N, Chesapeake, VA 23320
Open in Google Maps ↗

Secondary Practice Location 1

Location 111110 Medical Campus Rd Ste 200Hagerstown, MD 21742-6797 · Phone (301) 714-4400

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. Pratikkumar Aswinkumar Sheth M.d., M.p.h. 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 ID2668699513
PECOS Enrollment IDI20140816000030, I20161214002042
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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
628 services354 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
365 services351 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
112 services59 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services40 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
34 services30 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims24 services$15.49 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers48 claims49 services$74.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier13 claims14 services$29.92 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MIRANDA MARIE HURLEY CRNA
Nurse Anesthetist, Certified Registered
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-5246
SARAH ANN WILLIAMS PA
Physician Assistant
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 490-9388
DR. JIEMING YAN MD
Internal Medicine
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 967-8622
MISS SARAH MAE GROFT PA-C
Physician Assistant (Medical)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 609-3380
DR. SALVADOR BERNARD TRINIDAD M.D.
Radiology (Diagnostic Radiology)
736 BATTLEFIELD BLVD N, RADIOLOGY DEPARTMENT
CHESAPEAKE, VA 23320
Chesapeake City (757) 366-0101
SAMANTHA JO PALOZOLA CSA, CSFA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121
ROJAS R KEELING CSA
Specialist/Technologist, Other (Surgical Assistant)
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 803-8098
ALYSON LAMM
Surgery
736 BATTLEFIELD BLVD N
CHESAPEAKE, VA 23320
Chesapeake City (757) 312-8121

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 Pratikkumar Sheth's NPI number?

The NPI number for Pratikkumar Sheth is 1962711069. It was assigned to this individual provider in the NPPES registry on October 7, 2010.

Where is Pratikkumar Sheth located?

Pratikkumar Sheth practices at 736 Battlefield Blvd N, Chesapeake, VA 23320. The listed phone number is (757) 967-8622.

What is Pratikkumar Sheth's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pratikkumar Sheth enrolled in Medicare?

Yes. Pratikkumar Sheth 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.

Is Pratikkumar Sheth affiliated with any hospitals?

According to CMS data, Pratikkumar Sheth is affiliated with Meritus Medical Center and Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Pratikkumar Sheth was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.