DR. SANJAY Y SHETH (M.D.) – Internal Medicine Physician, NPI 1285616383
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,199 INTERNAL MEDICINE in OH
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Provider Addresses for DR. SANJAY Y SHETH (M.D.)
940, Robbins Avenue, Niles, Weathersfield Township, Trumbull County, Ohio, 44446, United States
NILES, OH 444462468
Phone: (330) 652-7973
Fax: (330) 652-7876
Type: Location
940 ROBBINS AVEVNUE
NILES, OH 444462468
Phone: (330) 652-7973
Fax: (330) 652-7876
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 253 Open Payments records for all available years, with a total value of $5,382.
Total Amount is formed as General ($5,382) + Research ($0) + Ownership ($0) = $5,382.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,363).
Total Amount
$5,382
General + Research + Ownership
Payments
253
Total payment records
General Amount
$5,382
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,363 |
| AstraZeneca Pharmaceuticals LP | $880 |
| Amgen Inc. | $497 |
| GlaxoSmithKline, LLC. | $401 |
| Lilly USA, LLC | $282 |
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: 2006-10-12
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 |
|---|---|---|---|---|
| I20061012000019 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 371 | 149 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 241 | 62 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 158 | 104 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 104 | 104 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 93 | 67 | $0 |
Insurance plans in this area (ZIP 44446)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | OH | 90670 | Pneumococcal vaccine for injection into muscle | 82 | 82 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | OH | |
| Internal Medicine | OH | |
| Internal Medicine | OH | |
| Nurse Practitioner | PA |
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