DISHA SHAH (MD) – Clinical Neurophysiology Physician, NPI 1366671265

DISHA SHAH (MD) is a healthcare provider. based in Louisville, Kentucky. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD439334 (PA). The NPI Number for DISHA SHAH (MD) is 1366671265

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
DISHA SHAH (MD)
NPI
1366671265
Phone
(502) 361-6055
Address
6801 DIXIE HWY
Enumeration Date
13 July 2009
Last Update Date
4 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2709824776
Graduation Year
2004 (22 years ago)
PAC ID
7315124591
Group Practice PAC ID
0143139337
Professional Enrollment ID
I20130819000286
Address ID
KY427017873EL4031XHWYX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

330 NEUROLOGY in KY

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Provider Addresses for DISHA SHAH (MD)

  • Skyline Chili, 6801, Dixie Highway, Louisville, Jefferson County, Kentucky, 40258, United States

    SUITE 130

    LOUISVILLE, KY 402583913

    Phone: (502) 361-6055

    Fax: (502) 361-6087

    Type: Mailing

  • 6400, Dutchmans Parkway, St. Matthews, Jefferson County, Kentucky, 40205, United States

    SUITE 175

    LOUISVILLE, KY 402053340

    Phone: (502) 361-6055

    Fax: (502) 361-6087

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 292 Open Payments records for all available years, with a total value of $12,094.

Total Amount is formed as General ($12,094) + Research ($0) + Ownership ($0) = $12,094.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($5,484).

Total Amount

$12,094

General + Research + Ownership

Payments

292

Total payment records

General Amount

$12,094

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: 2013-08-19

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
I20130819000286INeurologyKYTBD

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
J0585Injection, onabotulinumtoxina, 1 unit7,14516$0
99214Established patient office or other outpatient visit, 30-39 minutes137109$0
99215Established patient office or other outpatient visit, 40-54 minutes12698$0
96372Injection of drug or substance under skin or into muscle8345$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg8345$0
View full utilization report →

Insurance plans in this area (ZIP 40258)

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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: 0143139337View full group profile
NameSpecialtyState
Nurse PractitionerKY
N E U R O S U R G E R YKY
-KY
Internal MedicineKY
Orthopedic SurgeryKY
Orthopedic SurgeryIL
Nurse PractitionerKY
Nurse PractitionerKY
N E U R O L O G YKY
Orthopedic SurgeryKY

Reviews

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Frequently asked questions

What NPI should I save for DISHA SHAH (MD)?
Save NPI 1366671265 if you need a stable reference for DISHA SHAH (MD).
Is DISHA SHAH (MD)'s NPI currently valid?
The extract we use shows DISHA SHAH (MD) as active.
What field does DISHA SHAH (MD) work in?
You can think of DISHA SHAH (MD) as practicing within Clinical Neurophysiology Physician. Clinical services aligned with this taxonomy classification.
Where is DISHA SHAH (MD)'s primary listing?
We display Louisville, Kentucky because that is what the record indicates for DISHA SHAH (MD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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