Dhiraj Shah, MD - Medicare Internal Medicine in Marion, IN

Dhiraj Shah, MD is a medicare enrolled "Internal Medicine" physician in Marion, Indiana. His current practice location is 441 N Wabash Ave, Marion, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 662-4236.

Dhiraj Shah is licensed to practice in Indiana (license number 01087976A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053965392.

Contact Information

Dhiraj Shah, MD
441 N Wabash Ave,
Marion, IN 46952-2612
(765) 662-4236
(765) 662-4903

Map and Direction




Physician's Profile

Full NameDhiraj Shah
GenderMale
SpecialityInternal Medicine
Location441 N Wabash Ave, Marion, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053965392
  • Provider Enumeration Date: 07/25/2019
  • Last Update Date: 11/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8123404944
  • Enrollment ID: I20221003000905

Medical Identifiers

Medical identifiers for Dhiraj Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053965392NPI-NPPES
1102638432OtherINANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 01087976A (Indiana)Secondary
207R00000XInternal Medicine 01087976A (Indiana)Primary

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. Dhiraj Shah allows following entities to bill medicare on his behalf.
Entity NameMarion General Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528099041
PECOS PAC ID: 9133023625
Enrollment ID: O20040524001483

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. Dhiraj 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
Dhiraj Shah, MD
330 N Wabash Ave Ste G-20,
Marion, IN 46952-2605

Ph: (765) 660-7616
Dhiraj Shah, MD
441 N Wabash Ave,
Marion, IN 46952-2612

Ph: (765) 662-4236

Reviews and Comments


Internal Medicine Doctors in Marion, IN

Mohammad Nabi Sharif, MD
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Practice Location: 330 N Wabash Ave Ste 110, Marion, IN 46952
Phone: 765-664-1201    
Subodh S Gupte, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1614 N Baldwin Ave, Marion, IN 46952
Phone: 765-664-1201    Fax: 765-664-2866
Daniel T Barrido Jr., MD
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Practice Location: 610 N River Dr, Marion, IN 46952
Phone: 765-662-9870    Fax: 765-662-9907
Dharam Raj, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1251 Kem Rd, Suite B, Marion, IN 46952
Phone: 765-662-8696    Fax: 765-662-8738
Dr. Fatih Burak Kaner, MD
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 441 N Wabash Ave, Marion, IN 46952
Phone: 765-660-6000    
Dr. Edmond A. Bendaly, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 831 Theatre Drive, Marion, IN 46952
Phone: 765-660-7800    Fax: 765-662-4470
Amjad Shahir Ata Alrashdan, MBBS
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 330 N Wabash Ave Ste 110, Marion, IN 46952
Phone: 765-664-1201    

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.