Nirav R Shah, MD, MPH - Medicare Gastroenterology in Wyomissing, PA

Nirav R Shah, MD, MPH is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Wyomissing, Pennsylvania. He graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Gastroenterology. He is a member of the group practice Regional Gastroenterology Associates Of Lancaster, Ltd. and his current practice location is 1011 Reed Ave, Suite 300, Wyomissing, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (610) 374-4401.

Nirav R Shah is licensed to practice in Pennsylvania (license number MD442736) 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 1023148731.

Contact Information

Nirav R Shah, MD, MPH
1011 Reed Ave, Suite 300,
Wyomissing, PA 19610-2002
(610) 374-4401
(610) 374-7140

Map and Direction




Physician's Profile

Full NameNirav R Shah
GenderMale
SpecialityGastroenterology
Experience20 Years
Location1011 Reed Ave, Wyomissing, 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 R Shah graduated from medical school in 2004
  NPI Data:
  • NPI Number: 1023148731
  • Provider Enumeration Date: 03/06/2007
  • Last Update Date: 02/19/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 6002910353
  • Enrollment ID: I20110629000535

Medical Identifiers

Medical identifiers for Nirav R Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023148731NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology MD442736 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Reading HospitalWest reading, PAHospital
St Joseph Medical CenterReading, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regional Gastroenterology Associates Of Lancaster, Ltd.4688575434239

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 R Shah allows following entities to bill medicare on his behalf.
Entity NameRegional Gastroenterology Associates Of Lancaster, Ltd.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154422806
PECOS PAC ID: 4688575434
Enrollment ID: O20040115000777
Entity NameDigestive Disease Associates, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699742080
PECOS PAC ID: 3375526049
Enrollment ID: O20040611001399

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 R 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
Nirav R Shah, MD, MPH
1011 Reed Ave, Suite 300,
Wyomissing, PA 19610-2002

Ph: (610) 374-4401
Nirav R Shah, MD, MPH
1011 Reed Ave, Suite 300,
Wyomissing, PA 19610-2002

Ph: (610) 374-4401

Reviews and Comments


Internal Medicine Doctors in Wyomissing, PA

Dr. David F Steffy, M.D.
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 950b N Wyomissing Blvd, 3rd Floor, Wyomissing, PA 19610
Phone: 610-898-1820    Fax: 610-372-0164
Dr. Michael Bernard Russo, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610
Phone: 610-685-8500    Fax: 610-685-4833
Dr. Pallak Agarwal, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2608 Keiser Blvd, Wyomissing, PA 19610
Phone: 610-685-5864    Fax: 610-929-1528
Dr. Kristie Marie Pepper, D.O.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2760 Century Blvd, Wyomissing, PA 19610
Phone: 610-375-4251    Fax: 610-685-2870
Louis La Luna, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 1011 Reed Ave, Suite 300, Wyomissing, PA 19610
Phone: 610-374-4401    Fax: 610-374-7140
Tara Lynn Dimino, MD
Gastroenterology
Medicare: Not Enrolled in Medicare
Practice Location: 2605 Keiser Blvd, Wyomissing, PA 19610
Phone: 610-685-8500    Fax: 610-685-4833

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.