KUNAL VIJAY SHAH (M.D.) – Neurological Surgery Physician, NPI 1285878868

KUNAL VIJAY SHAH (M.D.) is a healthcare provider. based in Liberty lake, Washington. specializing in NEUROSURGERY. They hold the professional credentials M.D.. They hold a License No. MD60541370 (WA). The NPI Number for KUNAL VIJAY SHAH (M.D.) is 1285878868

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
KUNAL VIJAY SHAH (M.D.)
NPI
1285878868
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
27 April 2009
Last Update Date
24 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096843701
Graduation Year
2009 (17 years ago)
PAC ID
9638490188
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20150612001038
Address ID
WA991143354CO1200XAVEX400

Contacts

Secure Messaging
kshah523438@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

206 NEUROSURGERY in WA

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Provider Addresses for KUNAL VIJAY SHAH (M.D.)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 105, West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States

    STE 200

    SPOKANE, WA 992042302

    Phone: (509) 624-9112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2023-03-23 • Largest payer in this snapshot: Biosense Webster, Inc. ($79).

Total Amount

$79

General + Research + Ownership

Payments

2

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-23

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Biosense Webster, Inc.$79
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: 2015-06-12

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
I20150612001038INeurosurgeryWATBD

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
99204New patient office or other outpatient visit, 45-59 minutes5151$0
99215Established patient office or other outpatient visit, 40-54 minutes1818$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 0345139929View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KUNAL VIJAY SHAH (M.D.) in the U.S.?
In the U.S., KUNAL VIJAY SHAH (M.D.) is identified by NPI 1285878868.
Should I treat KUNAL VIJAY SHAH (M.D.) as an active provider?
Patients and plans typically see KUNAL VIJAY SHAH (M.D.) as active in the national extract.
What does the directory say KUNAL VIJAY SHAH (M.D.) does?
Insurance directories may phrase it differently, but here KUNAL VIJAY SHAH (M.D.) maps to Neurological Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KUNAL VIJAY SHAH (M.D.)?
KUNAL VIJAY SHAH (M.D.) shows a connection to Liberty Lake, Washington in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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