ANKOOR S SHAH (M.D., PH.D.) – Pediatric Ophthalmology and Strabismus Specialist Physician, NPI 1528122819

ANKOOR S SHAH (M.D., PH.D.) is a healthcare provider. based in Boston, Massachusetts. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D., PH.D.. They hold a License No. 227749 (MA). The NPI Number for ANKOOR S SHAH (M.D., PH.D.) is 1528122819

Main info

Male
Sole Proprietor
21 Years Of Experience
Name
ANKOOR S SHAH (M.D., PH.D.)
NPI
1528122819
Phone
(617) 355-6401
Address
300 LONGWOOD AVE
Enumeration Date
20 December 2006
Last Update Date
22 April 2020

Doctor Profile

Medical School Name
ALBERT EINSTEIN COLLEGE OF MEDICINE OF YESHIVA UNIVERSITY
Secondary Phone
6173556000
Graduation Year
2005 (21 years ago)
PAC ID
2163573551
Group Practice PAC ID
8729049150
Professional Enrollment ID
I20090624000676
Address ID
MA021155724BO300XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

801 OPHTHALMOLOGY in MA

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Provider Addresses for ANKOOR S SHAH (M.D., PH.D.)

  • Children's Hospital Library, 300, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    BOSTON, MA 021155724

    Phone: (617) 355-6401

    Fax: (617) 730-0392

    Type: Mailing

  • 243 Charles St

    Boston, MA 021143002

    Phone: (617) 355-6401

    Fax: (617) 730-0392

    Type: Location

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: 2009-06-24

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
I20090624000676IOphthalmologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02115)

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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: 8729049150View full group profile
NameSpecialtyState
-MA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P T O M E T R YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
-MA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA
O P H T H A L M O L O G YMA

Reviews

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Frequently asked questions

Can I use this page to confirm ANKOOR S SHAH (M.D., PH.D.)'s NPI?
Yes. ANKOOR S SHAH (M.D., PH.D.) is listed with NPI 1528122819 in the public NPI dataset.
Does the file indicate ANKOOR S SHAH (M.D., PH.D.) is practicing under active NPI?
Directory data currently reports ANKOOR S SHAH (M.D., PH.D.) as active.
What is ANKOOR S SHAH (M.D., PH.D.)'s primary classification?
Pediatric Ophthalmology and Strabismus Specialist Physician is the headline specialty for ANKOOR S SHAH (M.D., PH.D.) here. Clinical services aligned with this taxonomy classification.
What address line appears for ANKOOR S SHAH (M.D., PH.D.)?
ANKOOR S SHAH (M.D., PH.D.)'s geographic hint is Boston, Massachusetts in our summary view.
Is the information about ANKOOR S SHAH (M.D., PH.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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