Dr Phalgoon A Shah, MD - Medicare Pulmonary Disease in Edgewood, KY

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Dr Phalgoon A Shah, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Edgewood, Kentucky. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Mount Carmel Health Providers Two Llc, Summit Medical Group, Inc, Summit Medical Group, Inc and his current practice location is 1 Medical Village Dr, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 757-2927.

Dr Phalgoon A Shah is licensed to practice in Kentucky (license number 53445) 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 1821409319.

Contact Information

Dr Phalgoon A Shah, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403
(859) 757-2927
(859) 341-0203

Map and Direction




Physician's Profile

Full NameDr Phalgoon A Shah
GenderMale
SpecialityPulmonary Disease
Experience17 Years
Location1 Medical Village Dr, Edgewood, Kentucky
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 Phalgoon A Shah graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1821409319
  • Provider Enumeration Date: 05/19/2014
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507137312
  • Enrollment ID: I20180124003286

Medical Identifiers

Medical identifiers for Dr Phalgoon A Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1821409319NPI-NPPES
029220OtherCOKAISER COMMERCIAL NUMBER
7100660020MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RP1001XInternal Medicine - Pulmonary Disease 53445 (Kentucky)Primary
207RC0200XInternal Medicine - Critical Care Medicine 53445 (Kentucky)Secondary
207RP1001XInternal Medicine - Pulmonary Disease DR.0065750 (Colorado)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth Ft ThomasFort thomas, KYHospital
Dearborn County HospitalLawrenceburg, INHospital
St Elizabeth FlorenceFlorence, KYHospital
Mount Carmel East & WestColumbus, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mount Carmel Health Providers Two Llc6608828447214
Summit Medical Group, Inc2163326240693
Summit Medical Group, Inc2163326240693

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 Phalgoon A Shah allows following entities to bill medicare on his behalf.
Entity NameNorth East Ohio Group Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063575462
PECOS PAC ID: 8426960618
Enrollment ID: O20031105000352
Entity NameThe Metrohealth System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053353896
PECOS PAC ID: 8628982949
Enrollment ID: O20031119000355
Entity NameHospitalist Medicine Physicians Of Richland County, Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639119027
PECOS PAC ID: 4284538430
Enrollment ID: O20031120000557
Entity NameCommunity Hospitalist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538236872
PECOS PAC ID: 5496648123
Enrollment ID: O20040205000697
Entity NameAshtabula County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942247143
PECOS PAC ID: 2668465600
Enrollment ID: O20040406000897
Entity NameApogee Medical Group Ohio Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477500999
PECOS PAC ID: 8224082292
Enrollment ID: O20050311000733
Entity NameMount Carmel Health Providers Two Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134154750
PECOS PAC ID: 6608828447
Enrollment ID: O20050325000023
Entity NameUniversity Hospitals Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301
Entity NameHospitalist Medicine Physicians Of Ohio, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043572290
PECOS PAC ID: 3779749197
Enrollment ID: O20120730000162
Entity NameHospitalist Medicine Physicians Of Ohio-tcg, Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750860235
PECOS PAC ID: 3072864099
Enrollment ID: O20181001001695
Entity NameHospitalist Medicine Physicians Of Ohio - Youngstown
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780163832
PECOS PAC ID: 5991057812
Enrollment ID: O20181004000058
Entity NameHni Medical Services Of Ohio, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356815922
PECOS PAC ID: 1759620735
Enrollment ID: O20190308002704

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 Phalgoon A 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
Dr Phalgoon A Shah, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 757-2927		Dr Phalgoon A Shah, MD
1 Medical Village Dr,
Edgewood, KY 41017-3403

Ph: (859) 757-2927

Reviews and Comments


Internal Medicine Doctors in Edgewood, KY

Alice Hall, MD
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Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Colleen M Darnell, M.D.
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Phone: 859-301-4000    Fax: 859-301-4001
Charles M Bernstein, MD
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Phone: 859-301-2423    Fax: 859-301-2066
Vidya Rajaram Devarajan, M.D.
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Phone: 859-757-4446    Fax: 859-344-1999
Dr. Minsig Choi, MD
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Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-4000    Fax: 859-301-4001
Robert J Wagner, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945
Ryan Daniel Weprin, MD
Pulmonary Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1 Medical Village Dr, Edgewood, KY 41017
Phone: 859-301-8074    Fax: 859-301-4945

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).

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