Mital Shah, MD - Medicare Nephrology in Philadelphia, PA

Mital Shah, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Philadelphia, Pennsylvania. He went to University Of Texas Medical School At Houston and graduated in 2015 and has 9 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Rutgers Health-rwj Scleroderma Program and his current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-2638.

Mital Shah is licensed to practice in Pennsylvania (license number MD463824) 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 1194111765.

Contact Information

Mital Shah, MD
3400 Spruce St,
Philadelphia, PA 19104-4405
(215) 662-2638
Not Available

Map and Direction




Physician's Profile

Full NameMital Shah
GenderMale
SpecialityNephrology
Experience9 Years
Location3400 Spruce St, Philadelphia, Pennsylvania
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:
  • Mital Shah attended and graduated from University Of Texas Medical School At Houston in 2015
  NPI Data:
  • NPI Number: 1194111765
  • Provider Enumeration Date: 04/10/2015
  • Last Update Date: 04/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7113238189
  • Enrollment ID: I20220613000750

Medical Identifiers

Medical identifiers for Mital Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194111765NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 25MA11359900 (New Jersey)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207RN0300XInternal Medicine - Nephrology MD463824 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Robert Wood Johnson University HospitalNew brunswick, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rutgers Health-rwj Scleroderma Program5193764991291

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. Mital Shah allows following entities to bill medicare on his behalf.
Entity NameRobert Wood Johnson Medical Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902848625
PECOS PAC ID: 8628065117
Enrollment ID: O20040427001205
Entity NameRutgers Health-rwj Scleroderma Program
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679655781
PECOS PAC ID: 5193764991
Enrollment ID: O20050502000326

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. Mital 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
Mital Shah, MD
3400 Spruce St,
Philadelphia, PA 19104-4405

Ph: (215) 662-2638
Mital Shah, MD
3400 Spruce St,
Philadelphia, PA 19104-4405

Ph: (215) 662-2638

Reviews and Comments


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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.