DHARA SHAH (PA-C) – Medical Physician Assistant, NPI 1194475442

DHARA SHAH (PA-C) is a healthcare provider. based in Smithfield, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for DHARA SHAH (PA-C) is 1194475442

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DHARA SHAH (PA-C)
NPI
1194475442
Phone
(401) 349-2203
Address
41 SANDERSON RD
Enumeration Date
28 March 2022
Last Update Date
28 April 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4017576160
Graduation Year
2022 (4 years ago)
PAC ID
4587042973
Group Practice PAC ID
3072913714
Professional Enrollment ID
I20220525001167
Address ID
RI029172408SM400XXPIKE300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:4State licenses:0Digital endpointsOther names

773 PHYSICIAN ASSISTANT in RI

Provider Addresses for DHARA SHAH (PA-C)

  • 41 SANDERSON RD

    SMITHFIELD, RI 029172602

    Phone: (401) 349-2203

    Type: Mailing

  • 41 SANDERSON RD STE 206

    SMITHFIELD, RI 029172603

    Phone: (401) 349-2203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 151 Open Payments records for all available years, with a total value of $3,298.

Total Amount is formed as General ($3,298) + Research ($0) + Ownership ($0) = $3,298.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Novo Nordisk Inc ($699).

Total Amount

$3,298

General + Research + Ownership

Payments

151

Total payment records

General Amount

$3,298

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

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: 2022-05-25

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
I20220525001167IPhysician AssistantRITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes197132$0
99213Established patient office or other outpatient visit, 20-29 minutes191128$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit122122$0
83036Hemoglobin a1c level6639$0
G0008Administration of influenza virus vaccine3535$0
View full utilization report →

Insurance plans in this area (ZIP 02917)

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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: 3072913714View full group profile
NameSpecialtyState
Nurse PractitionerRI
Physician AssistantRI
Internal MedicineRI
Physician AssistantRI
Family Practice, Pulmonary DiseaseRI
Nurse PractitionerRI
Physician AssistantNY
Nurse PractitionerRI
Physician AssistantRI
Family Practice, Internal MedicineRI

Reviews

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Frequently asked questions

Can I verify DHARA SHAH (PA-C) with an NPI only?
You can start verification with NPI 1194475442 for DHARA SHAH (PA-C), then check state licensing separately.
Is DHARA SHAH (PA-C) listed as active for patients and plans?
The listing shows DHARA SHAH (PA-C) as active in the NPI system.
What is DHARA SHAH (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for DHARA SHAH (PA-C) here. Clinical services aligned with this taxonomy classification.
Does DHARA SHAH (PA-C) list a practice location?
Patients near Smithfield, Rhode Island may find DHARA SHAH (PA-C) in results; validate coverage separately.
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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