Darshan J Shah, MD - Medicare Internal Medicine in Enfield, CT

Darshan J Shah, MD is a medicare enrolled "Internal Medicine" physician in Enfield, Connecticut. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Darshan J Shah Md Llc and his current practice location is 139 Hazard Ave, Bldg 4, Suite # 14, Enfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 763-0208.

Darshan J Shah is licensed to practice in Connecticut (license number 038479) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558355750.

Contact Information

Darshan J Shah, MD
139 Hazard Ave, Bldg 4, Suite # 14,
Enfield, CT 06082-4585
(860) 763-0208
(860) 763-0224

Map and Direction




Physician's Profile

Full NameDarshan J Shah
GenderMale
SpecialityInternal Medicine
Experience28 Years
Location139 Hazard Ave, Enfield, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Darshan J Shah graduated from medical school in 1996
  NPI Data:
  • NPI Number: 1558355750
  • Provider Enumeration Date: 09/02/2005
  • Last Update Date: 03/26/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6305986613
  • Enrollment ID: I20091217000431

Medical Identifiers

Medical identifiers for Darshan J Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558355750NPI-NPPES
1384792MedicaidCT
138479200OtherCTBLUECARE FAMILY PLAN
7287123OtherCTAETNA
01038479OtherCTCIGNA
P2097192OtherCTOXFORD HEALTH PLANS
0100384479-CT01OtherCTBCBS
038479OtherCTCONNECTICARE
0V7377OtherCTHEALTH NET
61373363OtherCTUNITED HEALTH CARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 038479 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beacon Hospice LlcEast hartford, CTHospice
Masonicare Home Health And Hospice IncWallingford, CTHospice
Visiting Nurse & Health Services Of ConnecticutVernon, CTHospice
Baystate Medical CenterSpringfield, MAHospital
Johnson Memorial HospitalStafford springs, CTHospital
Parkway Pavilion Health And Rehabilitation CenterEnfield, CTNursing home
Suffield House, TheSuffield, CTNursing home
St Joseph's ResidenceEnfield, CTNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Darshan J Shah Md Llc05473008572

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Darshan J Shah allows following entities to bill medicare on his behalf.
Entity NameDarshan J Shah Md Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366776775
PECOS PAC ID: 0547300857
Enrollment ID: O20091217000470

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Darshan J Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Darshan J Shah, MD
139 Hazard Ave, Bldg 4, Suite # 14,
Enfield, CT 06082-4585

Ph: (860) 763-0208
Darshan J Shah, MD
139 Hazard Ave, Bldg 4, Suite # 14,
Enfield, CT 06082-4585

Ph: (860) 763-0208

Reviews and Comments


Internal Medicine Doctors in Enfield, CT

Dennis Morgan, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 146 Hazard Ave, Enfield, CT 06082
Phone: 860-763-4027    Fax: 860-763-4546
Arthur H. Skalski, MD
Internal Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 151 Hazard Ave, Suite 10, Enfield, CT 06082
Phone: 860-698-9700    
Dushyant Parikh, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 146 Hazard Ave, Suite 105, Enfield, CT 06082
Phone: 860-749-8267    
Dale T Toce, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7 Elm St, Ste 201, Enfield, CT 06082
Phone: 860-741-6678    Fax: 860-741-6272
Dr. Kulsoom Hussain Maudoodi, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hazard Ave, Suite 101, Enfield, CT 06082
Phone: 860-696-2380    
Molly M Emott, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hazard Ave Ste 101, Enfield, CT 06082
Phone: 860-456-2898    Fax: 860-456-3078
Kalyan K Pundla, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 100 Hazard Ave Ste 101, Enfield, CT 06082
Phone: 860-696-2380    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.