NILESH SHAH (MD) – Sports Medicine (Family Medicine) Physician, NPI 1962458190

NILESH SHAH (MD) is a healthcare provider. based in Akron, Ohio. specializing in SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 35-076963 (OH). The NPI Number for NILESH SHAH (MD) is 1962458190

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
NILESH SHAH (MD)
NPI
1962458190
Phone
(330) 379-5051
Address
20 OLIVE ST STE 201
Enumeration Date
26 May 2006
Last Update Date
15 August 2011

Doctor Profile

Medical School Name
CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Secondary Phone
-
Graduation Year
1994 (32 years ago)
PAC ID
4385635846
Group Practice PAC ID
2961303532
Professional Enrollment ID
I20040521001306
Address ID
OH443041619AK525XXSTXX400
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

341 SPORTS MEDICINE in OH

Provider Addresses for NILESH SHAH (MD)

  • 20 OLIVE ST STE 201

    AKRON, OH 443103169

    Phone: (330) 379-5051

    Fax: (330) 379-5074

    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)

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: 2004-05-21

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040521001306ISports MedicineOHTBD

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
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg23775$0
99213Established patient office or other outpatient visit, 20-29 minutes7956$0
20610Aspiration and/or injection of fluid from large joint6845$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance4931$0
73564X-ray of knee, 4 or more views3627$0
View full utilization report →

Insurance plans in this area (ZIP 44310)

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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: 2961303532View full group profile
NameSpecialtyState
Nurse PractitionerGA
-OH
Critical Care (Intensivists)KY
-OH
Family PracticeOH
Family PracticeOH
Cardiovascular Disease (Cardiology)OH
N E P H R O L O G YOH
Nurse PractitionerOH
General SurgeryIL

Reviews

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Frequently asked questions

Can I cross-check NILESH SHAH (MD) using NPI 1962458190?
NPI 1962458190 belongs to NILESH SHAH (MD); compare other details if you need extra assurance.
Is there an active status for NILESH SHAH (MD)?
For scheduling context, NILESH SHAH (MD) is shown as active in the registry.
What kind of doctor is NILESH SHAH (MD)?
NILESH SHAH (MD) is associated with Sports Medicine (Family Medicine) Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Ohio is NILESH SHAH (MD) registered?
Use Akron, Ohio as the headline location for NILESH SHAH (MD) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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