DR. KETAN D. SHAH D.P.M. NPI 1609822360

NPI Information

  • NPI: 1609822360
  • Provider Name: DR. KETAN D. SHAH, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 9234 KENNEDY BLVD
    NORTH BERGEN, NJ
    ZIP 07047
  • Phone: (201) 868-2400

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NPI Details

DR. Ketan D. Shah, D.P.M. is a foot and ankle surgery podiatrist in North Bergen, NJ with 25 years of experience. DR. Ketan D. Shah, D.P.M. NPI is 1609822360. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2000

The provider's business location address is:

9234 KENNEDY BLVD
NORTH BERGEN, NJ
ZIP 07047-312
Phone: (201) 868-2400
Fax: (201) 868-2014

The NPI 1609822360 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Follow-up nursing facility visit per day, typically 10 minutes (HCPCS:99307)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Initial nursing facility visit per day, typically 25 minutes (HCPCS:99304)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Initial hospital inpatient care per day, typically 30 minutes (HCPCS:99221)

The enumeration date for this NPI number is 5/25/2006 and was last updated on 3/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle Surgery25MD00270100NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1059062MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY
28882401MEDICAIDNEW JERSEY
3U90762MEDICARE UPINNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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