SHETAL H. PADIA (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1679797302
Endocrinology, Diabetes & Metabolism Physician
Main info
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Profile Insights
NPPES metrics only — not quality of care.
245 ENDOCRINOLOGY in VA
Provider Addresses for SHETAL H. PADIA (MD)
415 RAY C. HUNT DRIVE
CHARLOTTESVILLE, VA 22903
Phone: (434) 924-1825
Fax: (434) 982-3628
Type: Location
415 Ray C. Hunt Drive
Charlottesville, VA 22903
Phone: (434) 924-1825
Fax: (434) 982-3628
Type: Location
PO BOX 9007
CHARLOTTESVILLE, VA 229069007
Phone:
Type: Mailing
1600 6TH AVE STE 102
YORK, PA 174032626
Phone: (717) 849-5500
Fax: (717) 472-8282
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-12-21
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20221221001653 | I | Endocrinology | PA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 115 | 65 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 47 | 47 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 44 | 33 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 25 | 14 | $0 |
Insurance plans in this area (ZIP 22903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | PA | |
| - | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | PA | |
| - | TN | |
| Hospitalist, Internal Medicine | PA | |
| Internal Medicine | PA | |
| Endocrinology, Internal Medicine | PA |
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