KETAN SHAH (M.D.) – Otolaryngology Physician, NPI 1841306693
Otolaryngology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
488 OTOLARYNGOLOGY in IL
Provider Addresses for KETAN SHAH (M.D.)
1000 ELEVEN S
STE 4F
COLUMBIA, IL 622361080
Phone: (618) 628-0715
Fax: (888) 371-4468
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $707.
Total Amount is formed as General ($707) + Research ($0) + Ownership ($0) = $707.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Acclarent, Inc ($180).
Total Amount
$707
General + Research + Ownership
Payments
22
Total payment records
General Amount
$707
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Acclarent, Inc | $180 |
| Optinose US, Inc. | $135 |
| Galderma Laboratories, L.P. | $92 |
| ABBVIE INC. | $89 |
| JAZZ PHARMACEUTICALS INC. | $75 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-01-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100128000148 | I | Otolaryngology | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95004 | Test for allergy using allergenic extract | 2,986 | 53 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 920 | 18 | $0 |
| 95800 | Sleep study including heart rate, breathing, and sleep time | 223 | 219 | $0 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 147 | 143 | $0 |
| 95810 | Sleep study in sleep lab (6 years or older) | 104 | 103 | $0 |
Insurance plans in this area (ZIP 62236)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Qualified Audiologist | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| O T O L A R Y N G O L O G Y | IL | |
| Qualified Audiologist | MO | |
| Qualified Audiologist | MO | |
| Otolaryngology, Allergy/Immunology | GA | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | IL | |
| O T O L A R Y N G O L O G Y | GA |
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