SAMBHAV SHAH (MD) – Emergency Medicine Physician, NPI 1669433512
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,673 EMERGENCY MEDICINE in OH
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Provider Addresses for SAMBHAV SHAH (MD)
Lake County Memorial Hospital West, 36000, Euclid Avenue, Concord Mobile Home Park, Willoughby, Lake County, Ohio, 44094, United States
WILLOUGHBY, OH 44094
Phone: (440) 953-6203
Fax: (440) 953-6202
Type: Location
36000 Euclid Ave
Willoughby, OH 44094
Phone: (440) 953-6203
Fax: (440) 953-6202
Type: Location
10855 Virginia St
Crown Point, IN 463070210
Phone: (888) 824-0200
Type: Location
901 MACARTHUR BLVD
MUNSTER, IN 463212901
Phone: (219) 836-1600
Type: Location
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
11347, South Forest Drive, Concord Township, Lake County, Ohio, 44077, United States
CONCORD, OH 44060
Phone: (440) 339-8253
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: 2011-03-07
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 |
|---|---|---|---|---|
| I20110302001058 | I | Emergency Medicine | IN | TBD |
| I20110307000508 | I | Emergency Medicine | IL | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 143 | 141 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 56 | 56 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 23 | 23 | $0 |
| 99291 | Critical care, first 30-74 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 44094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine, Medical Toxicology | GA | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| Emergency Medicine | IL | |
| - | IL |
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