| Sanjay Surendra Shah, MD | |
|
4126 N. Holland-sylvania Rd, Suite 220, Toledo, OH 43623 | |
| (419) 885-8449 | |
| (419) 882-7621 |
| Full Name | Sanjay Surendra Shah |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 34 Years |
| Location | 4126 N. Holland-sylvania Rd, Toledo, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649275785 | NPI | - | NPPES |
| 2200540 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 35075703 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy St Vincent Medical Center | Toledo, OH | Hospital |
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Health Physicians North Specialty Care Llc | 1951707884 | 309 |
| Entity Name | Mercy Health Physicians-north Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
| Entity Name | Mercy Health Physicians North Specialty Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay Surendra Shah, MD 4126 N. Holland-sylvania Rd, Suite 220, Toledo, OH 43623 Ph: (419) 885-8449 | Sanjay Surendra Shah, MD 4126 N. Holland-sylvania Rd, Suite 220, Toledo, OH 43623 Ph: (419) 885-8449 |
Susan G. Rice, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 419 N Reynolds, Toledo, OH 43615 Phone: 419-531-2232 Fax: 419-531-2359 | |
Jennifer Kalbus, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 2222 Cherry St Ste 2000, Toledo, OH 43608 Phone: 419-251-8015 | |
Mr. Kelly Wynell Ellis, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5502 San Juan Dr, Toledo, OH 43612 Phone: 419-410-7741 | |
Dr. John T Kane, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3065 Arlington Ave, Toledo, OH 43614 Phone: 419-383-4022 Fax: 419-383-3106 | |
Ryan Michael Szepiela, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615 Phone: 419-578-4277 Fax: 419-537-5630 | |
Dr. Rekha Trivedi, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3900 Sunforest Ct, Ste 215, Toledo, OH 43623 Phone: 419-475-2134 | |
Dr. Steven J Farrell, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 3065 Arlington Ave, Toledo, OH 43614 Phone: 419-383-5000 Fax: 419-383-3398 |