DR. KETAN D. SHAH (D.P.M.) – Foot & Ankle Surgery Podiatrist, NPI 1609822360

DR. KETAN D. SHAH (D.P.M.) is a healthcare provider. based in North bergen, New Jersey. specializing in PODIATRY. They hold the professional credentials D.P.M.. They hold a License No. 25MD00270100 (NJ). The NPI Number for DR. KETAN D. SHAH (D.P.M.) is 1609822360

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KETAN D. SHAH (D.P.M.)
NPI
1609822360
Phone
(201) 868-2400
Address
9234 KENNEDY BLVD
Enumeration Date
25 May 2006
Last Update Date
31 March 2008

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
2018682400
Graduation Year
2000 (26 years ago)
PAC ID
9133024151
Professional Enrollment ID
I20031203000535
Address ID
NJ070475312NO9234XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,074 PODIATRY in NJ

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Provider Addresses for DR. KETAN D. SHAH (D.P.M.)

  • 9234, John F. Kennedy Boulevard, Hudson Heights, North Bergen, Hudson County, New Jersey, 07047, United States

    NORTH BERGEN, NJ 070475312

    Phone: (201) 868-2400

    Fax: (201) 868-2014

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Smith+Nephew, Inc. ($144).

Total Amount

$144

General + Research + Ownership

Payments

3

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$144
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: 2003-12-03

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
I20031203000535IPodiatryNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes636202$0
11721Removal of fingernails or toenails, 6 or more nails269135$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes16827$0
99203New patient office or other outpatient visit, 30-44 minutes8484$0
99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes4949$0
View full utilization report →

Insurance plans in this area (ZIP 07047)

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Reviews

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Frequently asked questions

What NPI should I save for DR. KETAN D. SHAH (D.P.M.)?
Save NPI 1609822360 if you need a stable reference for DR. KETAN D. SHAH (D.P.M.).
Is DR. KETAN D. SHAH (D.P.M.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. KETAN D. SHAH (D.P.M.)?
The page reflects Foot & Ankle Surgery Podiatrist for DR. KETAN D. SHAH (D.P.M.). Clinical services aligned with this taxonomy classification.
What location shows for DR. KETAN D. SHAH (D.P.M.)?
We surface North Bergen, New Jersey for DR. KETAN D. SHAH (D.P.M.) based on available NPPES addresses.
How can I contact DR. KETAN D. SHAH (D.P.M.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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