DR. MITAL P SHETH (M.D.) – Cardiovascular Disease Physician, NPI 1053607606

DR. MITAL P SHETH (M.D.) is a healthcare provider. based in Philadelphia, Pennsylvania. specializing in CARDIOVASCULAR DISEASE (CARDIOLOGY). They hold the professional credentials M.D.. They hold a License No. 25MA08233500 (NJ). The NPI Number for DR. MITAL P SHETH (M.D.) is 1053607606

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MITAL P SHETH (M.D.)
NPI
1053607606
Phone
(215) 389-1748
Address
2422 S BROAD ST
Enumeration Date
7 May 2007
Deactivation Date
17 May 2011
Reactivation Date
22 June 2011
Last Update Date
21 November 2018

Doctor Profile

Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2159529100
Graduation Year
2001 (25 years ago)
PAC ID
1153414008
Group Practice PAC ID
6406755651
Professional Enrollment ID
I20081106000496
Address ID
PA191454410PH2422XFLXX601
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,006 CARDIOVASCULAR DISEASE (CARDIOLOGY) in PA

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Provider Addresses for DR. MITAL P SHETH (M.D.)

  • South Broad Street, Packer Park, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19148, United States

    1ST FLOOR

    PHILADELPHIA, PA 191454418

    Phone: (215) 389-1748

    Fax: (215) 389-0604

    Type: Mailing

  • 3 Crescent Dr Fl 4

    Philadelphia, PA 191121016

    Phone: (215) 503-3300

    Fax: (215) 503-3321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $204.

Total Amount is formed as General ($204) + Research ($0) + Ownership ($0) = $204.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($74).

Total Amount

$204

General + Research + Ownership

Payments

10

Total payment records

General Amount

$204

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

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: 2008-11-06

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
I20081106000496ICardiovascular Disease (Cardiology)PATBD

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
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report298154$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only19298$0
99214Established patient office or other outpatient visit, 30-39 minutes188103$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes15668$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function9696$0
View full utilization report →

Insurance plans in this area (ZIP 19145)

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Provider's Procedures

DR. MITAL P SHETH (M.D.) performs procedures in CARDIOVASCULAR DISEASE (CARDIOLOGY). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA78452Nuclear medicine study of vessels of heart using drugs or exercise multiple studies1919
CARDIOVASCULAR DISEASE (CARDIOLOGY)PA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report307242

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: 6406755651View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)PA
-PA
Physician AssistantPA
Certified Registered Nurse Anesthetist (Crna)PA
Thoracic Surgery, Vascular SurgeryPA
Interventional Cardiology, Cardiovascular Disease (Cardiology)CA
Gastroenterology, Internal MedicinePA
Physical Medicine And RehabilitationPA
-PA
G A S T R O E N T E R O L O G YNJ

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. MITAL P SHETH (M.D.)?
DR. MITAL P SHETH (M.D.) — NPI 1053607606 — is the standard way to identify this listing.
Can I rely on DR. MITAL P SHETH (M.D.) being an active provider?
As of the registry snapshot, DR. MITAL P SHETH (M.D.) is marked active.
What taxonomy line describes DR. MITAL P SHETH (M.D.)?
For research purposes, treat DR. MITAL P SHETH (M.D.) as Cardiovascular Disease Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. MITAL P SHETH (M.D.)?
DR. MITAL P SHETH (M.D.)'s geographic hint is Philadelphia, Pennsylvania in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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