Dr Sheetal Shah, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Holladay, Utah. Her current practice location is
4252 S Highland Dr Ste 200, Holladay, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 965-3600.
Dr Sheetal Shah is licensed to practice in Utah (license number 5333024-1205) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841271491.
Physician's Profile
| Full Name | Dr Sheetal Shah |
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| Gender | Female |
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| Speciality | Internal Medicine - Nephrology |
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| Location | 4252 S Highland Dr Ste 200, Holladay, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841271491
- Provider Enumeration Date: 11/10/2005
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668411018
- Enrollment ID: I20050426000937
Medical Identifiers
Medical identifiers for Dr Sheetal Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841271491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RN0300X | Internal Medicine - Nephrology | 5333024-1205 (Utah) | 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. Dr Sheetal Shah allows following entities to bill medicare on her behalf.
| Entity Name | Granger Medical Clinic Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184657041 PECOS PAC ID: 3476465691 Enrollment ID: O20031105000159 |
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| Entity Name | Granger Medical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376159368 PECOS PAC ID: 4587074356 Enrollment ID: O20201105002207 |
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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 Sheetal 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 Address | Practice Location Address |
Dr Sheetal Shah, MD 2173 E Pheasant Way, Holladay, UT 84121-1310 Ph: () - | Dr Sheetal Shah, MD 4252 S Highland Dr Ste 200, Holladay, UT 84124-2690 Ph: (801) 965-3600 |
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