| Dr Jay Shah, MD | |
|
800 Indian Boundary Rd, Chesterton, IN 46304-1695 | |
| (872) 317-0501 | |
| (872) 317-0500 |
| Full Name | Dr Jay Shah |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 19 Years |
| Location | 800 Indian Boundary Rd, Chesterton, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134450737 | NPI | - | NPPES |
| 201183930 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 125052454 (Illinois) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 01072775A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northwest Health - Porter | Valparaiso, IN | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Indiana University Health Starke Hospital | Knox, IN | Hospital |
| La Porte Hospital | La porte, IN | Hospital |
| Pulaski Memorial Hospital | Winamac, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Porter Physician Services Llc | 1850482407 | 88 |
| Entity Name | Porter Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508075680 PECOS PAC ID: 1850482407 Enrollment ID: O20070810000409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay Shah, MD 10855 Virginia St, Crown Point, IN 46307-0210 Ph: (872) 317-0501 | Dr Jay Shah, MD 800 Indian Boundary Rd, Chesterton, IN 46304-1695 Ph: (872) 317-0501 |
Dr. Amarnath Badriprasad Agrawal, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1882 Catkin Cir, Chesterton, IN 46304 Phone: 219-395-8609 Fax: 219-395-8609 | |
Jamie Chin-theodorou, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Village Pt Ste 102, Chesterton, IN 46304 Phone: 219-395-1046 Fax: 219-395-1570 | |
John Patrick Brady, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Village Point, Suite 102, Chesterton, IN 46304 Phone: 219-395-1046 Fax: 219-395-1570 | |
Prasanthi Tummuru, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1140 S Calumet Rd, Chesterton, IN 46304 Phone: 219-926-6717 | |
Aleksander Skarzynski, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1 Summitt Dr, Chesterton, IN 46304 Phone: 219-787-8525 | |
Dr. James Arthur Hasbargen, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3100 Village Point, Suite 102, Chesterton, IN 46304 Phone: 219-395-1046 Fax: 219-395-1570 |