CHANDRAKANT S SHAH (MD) – Surgery Physician, NPI 1073585683
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for CHANDRAKANT S SHAH (MD)
Box, Cleveland County, Oklahoma, United States
CLEVELAND, OH 441300716
Phone: (440) 879-0081
Fax: (440) 879-0084
Type: Mailing
Portage Medical Center, 6847, North Chestnut Street, Ravenna, Portage County, Ohio, 44266, United States
RAVENNA, OH 442663929
Phone: (330) 297-0811
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: 2005-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050921001179 | I | General Surgery | 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 44130)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GENERAL SURGERY | OH | 36556 | Insertion of central venous catheter for infusion, patient 5 years or older | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| General Surgery, Hospitalist | OH | |
| - | OH | |
| - | OH | |
| - | OH | |
| General Surgery | NJ | |
| - | NC | |
| - | SC | |
| Internal Medicine | NJ | |
| Thoracic Surgery | MN | |
| Internal Medicine | OH |
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