NEIL ASHVIN SHAH (M.D.) – Dermatology Physician, NPI 1487844205

NEIL ASHVIN SHAH (M.D.) is a healthcare provider. based in New brighton, Minnesota. specializing in DERMATOLOGY, INTERNAL MEDICINE, MICROGRAPHIC DERMATOLOGIC SURGERY (MDS). They hold the professional credentials M.D.. They hold a License No. 50969 (MN). The NPI Number for NEIL ASHVIN SHAH (M.D.) is 1487844205

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
NEIL ASHVIN SHAH (M.D.)
NPI
1487844205
Phone
(612) 213-2370
Address
900 LONG LAKE RD STE 150
Enumeration Date
27 July 2007
Last Update Date
6 June 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6122132370
Graduation Year
2007 (19 years ago)
PAC ID
7113085796
Group Practice PAC ID
7911157946
Professional Enrollment ID
I20081027000243
Address ID
MN553131930BU1700XNXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness75
Years active:18State licenses:1Digital endpointsOther names

419 DERMATOLOGY in MN

Provider Addresses for NEIL ASHVIN SHAH (M.D.)

  • 900 LONG LAKE RD STE 150

    NEW BRIGHTON, MN 551126414

    Phone: (612) 213-2370

    Fax: (612) 213-2370

    Type: Mailing

  • 39th Avenue Northeast, St. Anthony, Ramsey County, Minnesota, 55421, United States

    SAINT ANTHONY, MN 554214372

    Phone: (612) 213-2370

    Fax: (612) 213-2370

    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: 2008-10-27

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
I20081027000243IDermatologyMNTBD

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
G6001Ultrasonic guidance for placement of radiation therapy fields1,14152$0
77280Obtaining data needed to develop the optimal radiation treatment, 1 treatment area1,09152$0
77401Superficial and/or low voltage radiation treatment delivery1,05452$0
88305Pathology examination of tissue using a microscope, intermediate complexity277182$0
77427Radiation treatment management, 5 treatment sessions18751$0
View full utilization report →

Insurance plans in this area (ZIP 55112)

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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: 7911157946View full group profile
NameSpecialtyState
Physician AssistantMN
-MN
Physician AssistantMN
Physician AssistantAZ
Physician AssistantMN
Physician AssistantMN
Physician AssistantMN

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Frequently asked questions

Can I verify NEIL ASHVIN SHAH (M.D.) with an NPI only?
You can start verification with NPI 1487844205 for NEIL ASHVIN SHAH (M.D.), then check state licensing separately.
Is NEIL ASHVIN SHAH (M.D.) still practicing?
NEIL ASHVIN SHAH (M.D.) is currently listed as active in the public NPI registry.
What is NEIL ASHVIN SHAH (M.D.) best known for clinically?
Directory data describes NEIL ASHVIN SHAH (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
What area does NEIL ASHVIN SHAH (M.D.) serve?
NEIL ASHVIN SHAH (M.D.)'s listing highlights New Brighton, Minnesota; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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