Dr Sanjay Y Sheth, MD - Medicare Internal Medicine in Niles, OH

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Dr Sanjay Y Sheth, MD is a medicare enrolled "Internal Medicine" physician in Niles, Ohio. He graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Novacare Rehabilitation Of Ohio Inc, S And J Med Inc and his current practice location is 940 Robbins Ave, Niles, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 652-7973.

Dr Sanjay Y Sheth is licensed to practice in Ohio (license number 35085218) 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 1285616383.

Contact Information

Dr Sanjay Y Sheth, MD
940 Robbins Ave,
Niles, OH 44446-2468
(330) 652-7973
(330) 652-7876

Map and Direction




Physician's Profile

Full NameDr Sanjay Y Sheth
GenderMale
SpecialityInternal Medicine
Experience22 Years
Location940 Robbins Ave, Niles, 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 Sanjay Y Sheth graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1285616383
  • Provider Enumeration Date: 11/16/2005
  • Last Update Date: 07/30/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2466458609
  • Enrollment ID: I20061012000019

Medical Identifiers

Medical identifiers for Dr Sanjay Y Sheth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285616383NPI-NPPES
311513392031OtherOHCARESOURCE
000000480108OtherOHANTHEM
2715708MedicaidOH
000000248094OtherOHUNISON
450294OtherOHWELLCARE
7745806OtherOHAETNA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35085218 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Patriot Homecare, IncGirard, OHHome health agency
Trumbull Regional Medical CenterWarren, OHHospital
Mh St Joseph Warren HospitalWarren, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Novacare Rehabilitation Of Ohio Inc0345159315172
S And J Med Inc74168572894

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 Y Sheth allows following entities to bill medicare on his behalf.
Entity NameS & J Med Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083684658
PECOS PAC ID: 7416857289
Enrollment ID: O20040109000550

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 Y Sheth 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 Y Sheth, MD
940 Robbins Avevnue,
Niles, OH 44446-2468

Ph: (330) 652-7973		Dr Sanjay Y Sheth, MD
940 Robbins Ave,
Niles, OH 44446-2468

Ph: (330) 652-7973

Reviews and Comments


Internal Medicine Doctors in Niles, OH

Anthony R Lanier, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1150 Niles Cortland Rd, Niles, OH 44446
Phone: 330-651-1759    Fax: 330-652-2719
Dr. Heba L Mikhail, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1254 Youngstown Warren Rd, Suite 3 A, Niles, OH 44446
Phone: 330-652-3000    
Douglas Allen Dunlap, D.O.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 654 Youngstown Warren Rd, Niles, OH 44446
Phone: 330-544-8113    
Dr. Ramona S Sheth, M.D.,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 940 Robbins Ave, Niles, OH 44446
Phone: 330-652-7973    Fax: 330-652-7876
Dr. Yogesh O Sheth, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 940 Robbins Ave, Niles, OH 44446
Phone: 330-652-7973    Fax: 330-652-7876
Dr. Manuel Ting, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 624 Vienna Ave, Niles, OH 44446
Phone: 330-652-9986    

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.