Nirav Gopalbhai Sheth, MD - Medicare Internal Medicine in Abington, PA

Nirav Gopalbhai Sheth, MD is a medicare enrolled "Internal Medicine" physician in Abington, Pennsylvania. He graduated from medical school in 2002 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Umg Hospitalists, Llc and his current practice location is 1200 Old York Rd, Dept Of Medicine Hospitalists, Abington, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 481-2222.

Nirav Gopalbhai Sheth is licensed to practice in Pennsylvania (license number MD434762) 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 1063671709.

Contact Information

Nirav Gopalbhai Sheth, MD
1200 Old York Rd, Dept Of Medicine Hospitalists,
Abington, PA 19001-3720
(215) 481-2222
Not Available

Map and Direction




Physician's Profile

Full NameNirav Gopalbhai Sheth
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location1200 Old York Rd, Abington, 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:
  • Nirav Gopalbhai Sheth graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1063671709
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 05/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4486727161
  • Enrollment ID: I20130820000574

Medical Identifiers

Medical identifiers for Nirav Gopalbhai Sheth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063671709NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD434762 (Pennsylvania)Primary

Hospital Affiliation

Hospital NameLocationType
University HospitalAugusta, GAAcute Care Hospital
Paoli HospitalPaoli, PAAcute Care Hospital
University Mcduffie County Regional Medical CenterThomson, GAAcute Care Hospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Umg Hospitalists, Llc014345545149

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. Nirav Gopalbhai Sheth allows following entities to bill medicare on his behalf.
Entity NameUniversity Mcduffie County Regional Medical Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730433152
PECOS PAC ID: 4183873672
Enrollment ID: O20121217000175
Entity NameUmg Hospitalists, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306278825
PECOS PAC ID: 0143455451
Enrollment ID: O20131022001543

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. Nirav Gopalbhai 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
Nirav Gopalbhai Sheth, MD
Po Box 1705,
Augusta, GA 30903-1705

Ph: (706) 774-7263
Nirav Gopalbhai Sheth, MD
1200 Old York Rd, Dept Of Medicine Hospitalists,
Abington, PA 19001-3720

Ph: (215) 481-2222

Reviews and Comments


Internal Medicine Doctors in Abington, PA

Dr. Shaili Nepal, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Old York Rd, Abington, PA 19001
Phone: 215-481-2191    Fax: 215-481-3411
Muhammad Arslan Asghar Cheema, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 Old York Rd, Abington, PA 19001
Phone: 215-481-2222    Fax: 215-481-4361
Joseph Guererri Crocetti Jr., DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1235 Old York Rd, Ste 121, Abington, PA 19001
Phone: 215-517-1200    Fax: 215-517-1219
Dr. Joseph Mcallister, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1235 Old York Rd, Ste 113, Abington, PA 19001
Phone: 215-517-1180    
William L. Ward, DO
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1235 Old York Rd, Suite 121, Abington, PA 19001
Phone: 215-517-1200    Fax: 215-517-1219
Dr. Usman Sarwar, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 1200 Old York Rd, Abington, PA 19001
Phone: 215-481-2606    
Rebecca Jane Fallis, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1235 Old York Rd Ste 220, Abington, PA 19001
Phone: 215-481-6350    Fax: 215-481-4237

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.