Dr Ketul K Shah, MD - Medicare Urology in Westerville, OH

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Dr Ketul K Shah, MD is a medicare enrolled "Urology" physician in Westerville, Ohio. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Urology. He is a member of the group practice Marion Area Physicians Llc, Ohiohealth Corporation and his current practice location is 300 Polaris Pkwy Ste 2300, Westerville, Ohio. You can reach out to his office (for appointments etc.) via phone at (614) 788-2870.

Dr Ketul K Shah is licensed to practice in Ohio (license number 35121117) 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 1265630230.

Contact Information

Dr Ketul K Shah, MD
300 Polaris Pkwy Ste 2300,
Westerville, OH 43082-7993
(614) 788-2870
(614) 533-0177

Map and Direction




Physician's Profile

Full NameDr Ketul K Shah
GenderMale
SpecialityUrology
Experience27 Years
Location300 Polaris Pkwy Ste 2300, Westerville, Ohio
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:
  • Dr Ketul K Shah graduated from medical school in 1997
  NPI Data:
  • NPI Number: 1265630230
  • Provider Enumeration Date: 07/11/2007
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234385485
  • Enrollment ID: I20130708000619

Medical Identifiers

Medical identifiers for Dr Ketul K Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265630230NPI-NPPES
0085240MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 35121117 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Riverside Methodist HospitalColumbus, OHHospital
Doctors HospitalColumbus, OHHospital
Marion General HospitalMarion, OHHospital
Dublin Methodist HospitalDublin, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Marion Area Physicians Llc1850549437149
Ohiohealth Corporation63057584261900

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. Dr Ketul K Shah allows following entities to bill medicare on his behalf.
Entity NameOhiohealth Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545273
PECOS PAC ID: 6305758426
Enrollment ID: O20031105000532
Entity NameMarion Area Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619230802
PECOS PAC ID: 1850549437
Enrollment ID: O20120925000053

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. Dr Ketul K 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
Dr Ketul K Shah, MD
5400 Frantz Rd Ste 250,
Dublin, OH 43016-6102

Ph: () -		Dr Ketul K Shah, MD
300 Polaris Pkwy Ste 2300,
Westerville, OH 43082-7993

Ph: (614) 788-2870

Reviews and Comments


Urology Doctors in Westerville, OH

Mia Addison Duncan, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 5150 E Dublin Granville Rd Ste 220, Westerville, OH 43081
Phone: 614-788-2870    Fax: 614-533-0177
Dr. David H Brown, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 430 Altair Pkwy Ste 200, Westerville, OH 43082
Phone: 614-818-0215    Fax: 614-818-0217
Dr. John Alex Brockman, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 300 Polaris Pkwy Ste 2300, Westerville, OH 43082
Phone: 614-533-3034    Fax: 614-533-0177

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.