Mr Ketan R Shah, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Portsmouth, VA

Mr Ketan R Shah, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portsmouth, Virginia. He graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Sheridan Healthcorp Inc, St Lucie Anesthesia Associates Llc and his current practice location is 3200 Tyre Neck Rd, Suite 101, Portsmouth, Virginia. You can reach out to his office (for appointments etc.) via phone at (757) 399-7451.

Mr Ketan R Shah is licensed to practice in Virginia (license number 0024169375) 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 1922390210.

Contact Information

Mr Ketan R Shah, CRNA
3200 Tyre Neck Rd, Suite 101,
Portsmouth, VA 23703-3329
(757) 399-7451
(757) 399-1158

Map and Direction




Provider's Profile

Full NameMr Ketan R Shah
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience13 Years
Location3200 Tyre Neck Rd, Portsmouth, Virginia
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:
  • Mr Ketan R Shah graduated from nursing school in 2011
  NPI Data:
  • NPI Number: 1922390210
  • Provider Enumeration Date: 05/05/2011
  • Last Update Date: 05/05/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5294913372
  • Enrollment ID: I20160908001776

Medical Identifiers

Medical identifiers for Mr Ketan R Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922390210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 0024169375 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Raulerson HospitalOkeechobee, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sheridan Healthcorp Inc3173429693866
St Lucie Anesthesia Associates Llc4284792706106

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. Mr Ketan R Shah allows following entities to bill medicare on his behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameJupiter Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700073848
PECOS PAC ID: 0547348211
Enrollment ID: O20080421000429
Entity NameBethesda Anesthesia Associates, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801054473
PECOS PAC ID: 3971670795
Enrollment ID: O20080920000183
Entity NameSt Lucie Anesthesia Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700044252
PECOS PAC ID: 4284792706
Enrollment ID: O20081027000765
Entity NameAnesthesia Physician Solutions Of South Florida, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104248699
PECOS PAC ID: 4688805286
Enrollment ID: O20140325000665

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. Mr Ketan 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
Mr Ketan R Shah, CRNA
3200 Tyre Neck Rd, Suite 101,
Portsmouth, VA 23703-3329

Ph: (757) 399-7451
Mr Ketan R Shah, CRNA
3200 Tyre Neck Rd, Suite 101,
Portsmouth, VA 23703-3329

Ph: (757) 399-7451

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Portsmouth, VA

Meredith Tverdosi, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3238    
Kristen Evette Brown, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3636 High St, Portsmouth, VA 23707
Phone: 757-398-2200    
Dr. Randall Barlow, DNP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Nmrtc, Portsmouth, 620 John Paul Jones Circle, Portsmouth, VA 23703
Phone: 910-382-9550    
Adam Richard Robles, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-5008    
Mr. Mark James Brownfield, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3238    
Mr. Robert Joseph Hawkins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3197    
Mr. Edward Joseph Hanrahan, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 620 John Paul Jones Cir, Portsmouth, VA 23708
Phone: 757-953-3216    

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.