VISHAL SHAH – Surgery Physician, NPI 1639580335

VISHAL SHAH is a healthcare provider. based in Wynnewood, Pennsylvania. specializing in CARDIAC SURGERY, THORACIC SURGERY. They hold a License No. 91855 (GA). The NPI Number for VISHAL SHAH is 1639580335

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
VISHAL SHAH
NPI
1639580335
Phone
(484) 476-2000
Address
100 E Lancaster Ave
Enumeration Date
15 May 2014
Last Update Date
9 October 2024

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7178516454
Graduation Year
2014 (12 years ago)
PAC ID
8527332535
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20250820000293
Address ID
PA174035024YO30XXXRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:12State licenses:1Digital endpointsOther names

144 CARDIAC SURGERY in PA

Provider Addresses for VISHAL SHAH

  • 100 E Lancaster Ave

    Wynnewood, PA 190963450

    Phone: (484) 476-2000

    Type: Location

  • 1365 Clifton Road

    Building A, Room 2211

    Atlanta, GA 30322

    Phone: (215) 595-8102

    Type: Location

  • 100 E LANCASTER AVE

    WYNNEWOOD, PA 190963450

    Phone:

    Type: Mailing

  • 2501 N PATTERSON ST

    VALDOSTA, GA 316021735

    Phone: (215) 595-8102

    Type: Mailing

  • 1365 CLIFTON ROAD

    BUILDING A, ROOM 2211

    ATLANTA, GA 30322

    Phone: (215) 595-8102

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $840.

Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Medtronic, Inc. ($679).

Total Amount

$840

General + Research + Ownership

Payments

3

Total payment records

General Amount

$840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-08-20

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220706001807IThoracic SurgeryGATBD
I20250820000293ICardiac SurgeryPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 19096)

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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: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

Reviews

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Frequently asked questions

What is the standard ID for VISHAL SHAH in the U.S.?
In the U.S., VISHAL SHAH is identified by NPI 1639580335.
Quick check: is VISHAL SHAH active?
Public NPPES data shows VISHAL SHAH with an active NPI status right now.
Which specialty label fits VISHAL SHAH?
NPPES ties VISHAL SHAH to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to VISHAL SHAH?
The directory associates VISHAL SHAH with Wynnewood, Pennsylvania. Check all listed addresses for suites or satellite offices.
Why is information missing for VISHAL SHAH?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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