MOHAMMAD KAMAL SHAH (MD) – Internal Medicine Physician, NPI 1174792923
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MOHAMMAD KAMAL SHAH (MD)
PO BOX 6514
TRAVERSE CITY, MI 496966514
Phone: (231) 922-9270
Fax: (231) 922-9271
Type: Mailing
730 W MARKET ST
LIMA, OH 458014602
Phone: (419) 226-4310
Fax: (419) 226-4315
Type: Location
Alpena Regional Medical Center, 1501, West Chisholm Street, Alpena, Alpena County, Michigan, 49707, United States
ALPENA, MI 497071401
Phone: (989) 356-7000
Type: Location
PO BOX 639982
CINCINNATI, OH 452639982
Phone:
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: 2015-12-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20140618001511 | I | Internal Medicine | TX | TBD |
| I20151222001111 | I | Internal Medicine | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49696)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Emergency Medicine | WV | |
| H O S P I T A L I S T | TN | |
| Endocrinology, Internal Medicine | NY | |
| - | WV | |
| Internal Medicine, Hospitalist | WV | |
| Hospitalist, Internal Medicine, Internal Medicine | PA | |
| Nurse Practitioner | WV | |
| Internal Medicine | MI | |
| Family Practice | WV | |
| Internal Medicine | NY |
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