SAMIR SUNIL SHAH (MD) – Diagnostic Radiology Physician, NPI 1285600593
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,563 DIAGNOSTIC RADIOLOGY in PA
Provider Addresses for SAMIR SUNIL SHAH (MD)
6000 RED TAIL LN
GIBSONIA, PA 150446046
Phone: (952) 595-1100
Fax: (612) 294-4903
Type: Mailing
22 LLANFAIR RD
UNIT 6
ARDMORE, PA 190032320
Phone: (215) 662-3000
Fax: (215) 662-7011
Type: Mailing
3400 SPRUCE STREET
PHILADELPHIA, PA 191044206
Phone: (215) 662-3000
Fax: (215) 662-7011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $24.
Total Amount is formed as General ($24) + Research ($0) + Ownership ($0) = $24.
Last reported payment date: 2024-05-29 • Largest payer in this snapshot: SCILEX PHARMACEUTICALS INC. ($24).
Total Amount
$24
General + Research + Ownership
Payments
1
Total payment records
General Amount
$24
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SCILEX PHARMACEUTICALS INC. | $24 |
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: 2024-12-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20040803000005 | I | Diagnostic Radiology | PA | TBD |
| I20210413001072 | I | Diagnostic Radiology | MI | TBD |
| I20210507000938 | I | Diagnostic Radiology | OH | TBD |
| I20241219003767 | I | Diagnostic Radiology | GA | 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 15044)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 71010 | X-ray of chest, 1 view, front | 24 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Diagnostic Radiology | CA | |
| - | AZ | |
| Diagnostic Radiology | TX | |
| - | CA | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | AZ | |
| Diagnostic Radiology | IN | |
| - | AZ |
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