DR. RAJENDRA VITO SHAH (M.D.) – Obstetrics & Gynecology Physician, NPI 1013961333

DR. RAJENDRA VITO SHAH (M.D.) is a healthcare provider. based in South bend, Indiana. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 01054170A (IN). The NPI Number for DR. RAJENDRA VITO SHAH (M.D.) is 1013961333

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. RAJENDRA VITO SHAH (M.D.)
NPI
1013961333
Phone
(574) 232-2037
Address
515 N LAFAYETTE BLVD
Enumeration Date
20 May 2006
Last Update Date
10 February 2010

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
5742348161
Graduation Year
1997 (29 years ago)
PAC ID
4183684822
Group Practice PAC ID
3779577937
Professional Enrollment ID
I20041015000932
Address ID
IN466172808SO211XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

962 OBSTETRICS/GYNECOLOGY in IN

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Provider Addresses for DR. RAJENDRA VITO SHAH (M.D.)

  • 515, North Lafayette Boulevard, South Bend, Saint Joseph County, Indiana, 46601, United States

    SOUTH BEND, IN 466011003

    Phone: (574) 232-2037

    Fax: (574) 232-1420

    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 23 Open Payments records for all available years, with a total value of $1,166.

Total Amount is formed as General ($1,166) + Research ($0) + Ownership ($0) = $1,166.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Minerva Surgical, Inc ($849).

Total Amount

$1,166

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,166

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041015000932IObstetrics/GynecologyINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3015$0
View full utilization report →

Insurance plans in this area (ZIP 46601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779577937View full group profile
NameSpecialtyState
Nurse PractitionerIN
-IN
-IN
-IN
Family PracticeKY
Family PracticeIN
O P H T H A L M O L O G YIN
Physician AssistantIN
Family PracticeIN
Physician AssistantIN

Reviews

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Frequently asked questions

Can I use this page to confirm DR. RAJENDRA VITO SHAH (M.D.)'s NPI?
Yes. DR. RAJENDRA VITO SHAH (M.D.) is listed with NPI 1013961333 in the public NPI dataset.
Can I rely on DR. RAJENDRA VITO SHAH (M.D.) being an active provider?
As of the registry snapshot, DR. RAJENDRA VITO SHAH (M.D.) is marked active.
What is DR. RAJENDRA VITO SHAH (M.D.)'s primary classification?
Obstetrics & Gynecology Physician is the headline specialty for DR. RAJENDRA VITO SHAH (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. RAJENDRA VITO SHAH (M.D.) serve?
DR. RAJENDRA VITO SHAH (M.D.)'s listing highlights South Bend, Indiana; more addresses can appear in NPPES.
Why does DR. RAJENDRA VITO SHAH (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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