Dr Sanjay Shah, MD - Medicare Internal Medicine in Fayetteville, NC

Dr Sanjay Shah, MD is a medicare enrolled "Internal Medicine" physician in Fayetteville, North Carolina. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Cumberland County Hospital System Inc, North Carolina Nephrology Pa and his current practice location is 1218 Walter Reed Rd, Fayetteville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (910) 323-1671.

Dr Sanjay Shah is licensed to practice in North Carolina (license number 9801484) 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 1689604035.

Contact Information

Dr Sanjay Shah, MD
1218 Walter Reed Rd,
Fayetteville, NC 28304-4440
(910) 323-1671
(910) 323-9656

Map and Direction




Physician's Profile

Full NameDr Sanjay Shah
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location1218 Walter Reed Rd, Fayetteville, North Carolina
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 Sanjay Shah graduated from medical school in 1990
  NPI Data:
  • NPI Number: 1689604035
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 06/20/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 8628075769
  • Enrollment ID: I20080326000703

Medical Identifiers

Medical identifiers for Dr Sanjay Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689604035NPI-NPPES
8911560MedicaidNC
390007497OtherNCMEDICARE RAILROAD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207LH0002XAnesthesiology - Hospice And Palliative Medicine 9801484 (North Carolina)Secondary
207RN0300XInternal Medicine - Nephrology 9801484 (North Carolina)Secondary
207R00000XInternal Medicine 9801484 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cape Fear Valley Medical CenterFayetteville, NCHospital
Betsy Johnson Regional HospitalDunn, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cumberland County Hospital System Inc1850204041455
North Carolina Nephrology Pa024451148355

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 Sanjay Shah allows following entities to bill medicare on his behalf.
Entity NameCumberland County Hospital System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881946242
PECOS PAC ID: 1850204041
Enrollment ID: O20031112000693
Entity NameNorth Carolina Nephrology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750835336
PECOS PAC ID: 0244511483
Enrollment ID: O20170103000254

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 Sanjay 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 Sanjay Shah, MD
Attn. Managed Care Planning, Po Box 40908,
Fayetteville, NC 28309

Ph: (910) 615-6949
Dr Sanjay Shah, MD
1218 Walter Reed Rd,
Fayetteville, NC 28304-4440

Ph: (910) 323-1671

Reviews and Comments


Internal Medicine Doctors in Fayetteville, NC

Kenneth Melton, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 557 Sandhurst Dr, Fayetteville, NC 28304
Phone: 910-484-8114    Fax: 910-484-1564
Kenneth Russell Manning, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1638 Owen Dr, Fayetteville, NC 28304
Phone: 910-609-6910    Fax: 910-609-5219
San San Wai, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 2300 Ramsey St, Va Medical Center, Fayetteville, NC 28301
Phone: 910-488-2120    
Dr. Sabena Johnson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2300 Ramsey St, Fayetteville, NC 28301
Phone: 910-488-2120    
Dr. Stephen S Logue, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1843 Quiet Cv, Fayetteville, NC 28304
Phone: 910-483-8080    Fax: 910-483-3258
David Tat, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1601 Owen Dr, Fayetteville, NC 28304
Phone: 910-678-0100    Fax: 910-678-0110
Dr. Ghanshyam Pradyumna Dwivedi, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1778 Metromedical Dr, Fayetteville, NC 28304
Phone: 910-483-4680    Fax: 910-484-2704

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.