SUSHRUT S. SHAH (MD) – Neuroradiology Physician, NPI 1629086046
Neuroradiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,576 DIAGNOSTIC RADIOLOGY in PA
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Provider Addresses for SUSHRUT S. SHAH (MD)
PO BOX 782743
ATTN: CREDENTIALING
PHILADELPHIA, PA 191782743
Phone: (602) 910-6887
Fax: (215) 612-5077
Type: Mailing
Saint Michael Mission Center, 10800, Knights Road, Crestmont Farms, Philadelphia, Philadelphia County, Pennsylvania, 19154, United States
ATTN: RADIOLOGY
PHILADELPHIA, PA 191144200
Phone: (215) 612-2610
Fax: (215) 612-5077
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $99.
Total Amount is formed as General ($99) + Research ($0) + Ownership ($0) = $99.
Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Lilly USA, LLC ($44).
Total Amount
$99
General + Research + Ownership
Payments
5
Total payment records
General Amount
$99
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $44 |
| Merck Sharp & Dohme LLC | $26 |
| SK Life Science, Inc. | $16 |
| Seagen Inc. | $14 |
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: 2013-07-10
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 |
|---|---|---|---|---|
| I20080728000676 | I | Diagnostic Radiology | PA | TBD |
| I20130710000095 | I | Diagnostic Radiology | NJ | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 20,500 | 79 | $0 |
| A9585 | Injection, gadobutrol, 0.1 ml | 8,986 | 106 | $0 |
| 77063 | Screening 3d breast mammography | 669 | 669 | $0 |
| 77067 | Screening mammography | 667 | 667 | $0 |
| 70450 | Ct scan head or brain without contrast | 510 | 490 | $0 |
Insurance plans in this area (ZIP 19178)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | PA | 71250 | CT scan chest | 82 | 81 |
| DIAGNOSTIC RADIOLOGY | PA | 73110 | X-ray of wrist, minimum of 3 views | 41 | 37 |
| DIAGNOSTIC RADIOLOGY | PA | 73140 | X-ray of fingers, minimum of 2 views | 13 | 11 |
| DIAGNOSTIC RADIOLOGY | PA | 73630 | X-ray of foot, minimum of 3 views | 86 | 79 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | PA | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | NJ | |
| Diagnostic Radiology | PA | |
| - | PA | |
| Diagnostic Radiology | PA | |
| - | NH | |
| Physician Assistant | PA | |
| Diagnostic Radiology | MI |
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