DR. ANIMESH CHANDULAL SHAH (MD) – Diagnostic Radiology Physician, NPI 1265457485

DR. ANIMESH CHANDULAL SHAH (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. C52320 (CA). The NPI Number for DR. ANIMESH CHANDULAL SHAH (MD) is 1265457485

Main info

Male
55 Years Of Experience
Name
DR. ANIMESH CHANDULAL SHAH (MD)
NPI
1265457485
Phone
(952) 595-1100
Address
65 E INDIA ROW APT 33C
Enumeration Date
12 July 2006
Last Update Date
17 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004756112
Graduation Year
1971 (55 years ago)
PAC ID
7810934346
Group Practice PAC ID
7113456831
Professional Enrollment ID
I20191003001447
Address ID
OH454302099BE397XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:19State licenses:7Digital endpointsOther names

1,897 DIAGNOSTIC RADIOLOGY in MA

Provider Addresses for DR. ANIMESH CHANDULAL SHAH (MD)

  • 65 E INDIA ROW APT 33C

    BOSTON, MA 021103323

    Phone: (952) 595-1100

    Fax: (952) 942-3361

    Type: Location

  • 11995, Singletree Lane, Eden Prairie, Hennepin County, Minnesota, 55344, United States

    SUITE 500

    EDEN PRAIRIE, MN 553445347

    Phone: (952) 595-1100

    Fax: (952) 942-3361

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

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
I20191003001447IDiagnostic RadiologyOHTBD
I20220816001494IDiagnostic RadiologyFLTBD
I20230626003014IDiagnostic RadiologyILTBD
I20251009003631IDiagnostic RadiologyWITBD
I20251203003181IDiagnostic RadiologyCATBD

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
71045X-ray of chest, 1 view840733$0
70450Ct scan head or brain without contrast415399$0
74176Ct scan of abdomen and pelvis without contrast193185$0
72125Ct scan of upper spine without contrast126125$0
74177Ct scan of abdomen and pelvis with contrast116115$0
View full utilization report →

Insurance plans in this area (ZIP 02110)

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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: 7113456831View full group profile
NameSpecialtyState
Diagnostic RadiologyMI
Diagnostic Radiology, Interventional Radiology, Interventional RadiologyIL
Diagnostic RadiologyNJ
Diagnostic RadiologyOH
Diagnostic RadiologyMI
Interventional Radiology, Diagnostic Radiology, Diagnostic RadiologyMO
Diagnostic Radiology, Nuclear MedicineCA
Diagnostic RadiologyMI
Diagnostic RadiologyNJ

Reviews

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Frequently asked questions

Can I verify DR. ANIMESH CHANDULAL SHAH (MD) with an NPI only?
You can start verification with NPI 1265457485 for DR. ANIMESH CHANDULAL SHAH (MD), then check state licensing separately.
Is DR. ANIMESH CHANDULAL SHAH (MD) still practicing?
DR. ANIMESH CHANDULAL SHAH (MD) is currently listed as active in the public NPI registry.
What taxonomy line describes DR. ANIMESH CHANDULAL SHAH (MD)?
For research purposes, treat DR. ANIMESH CHANDULAL SHAH (MD) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. ANIMESH CHANDULAL SHAH (MD)?
DR. ANIMESH CHANDULAL SHAH (MD)'s geographic hint is Boston, Massachusetts in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.