Dr Niket Shah, DO - Medicare Internal Medicine in Dyer, IN

Dr Niket Shah, DO is a medicare enrolled "Hospitalist" physician in Dyer, Indiana. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Edward Health Ventures, North Shore University Healthsystem Faculty Practice Associates and his current practice location is 24 Joliet St, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 865-2141.

Dr Niket Shah is licensed to practice in Indiana (license number 02005005A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376985630.

Contact Information

Dr Niket Shah, DO
24 Joliet St,
Dyer, IN 46311-1705
(219) 865-2141
(219) 852-2502



Physician's Profile

Full NameDr Niket Shah
GenderMale
SpecialityInternal Medicine
Experience11 Years
Location24 Joliet St, Dyer, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Niket Shah graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1376985630
  • Provider Enumeration Date: 07/26/2013
  • Last Update Date: 05/04/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022399815
  • Enrollment ID: I20191023001914

Medical Identifiers

Medical identifiers for Dr Niket Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376985630NPI-NPPES
300000888MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ED0400A (West Virginia)Secondary
207R00000XInternal Medicine 02005005A (Indiana)Secondary
208M00000XHospitalist 02005005A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Edward HospitalNaperville, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Edward Health Ventures4284531484510
North Shore University Healthsystem Faculty Practice Associates21633346991751

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Niket Shah allows following entities to bill medicare on his behalf.
Entity NameEdward Health Ventures
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962452912
PECOS PAC ID: 4284531484
Enrollment ID: O20031216000616

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Entity NameNorthshore University Healthsystem Faculty Practice Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118

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Entity NameCommunity First Healthcare Of Illinois Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881059897
PECOS PAC ID: 2860716685
Enrollment ID: O20160104001552

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Niket Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Niket Shah, DO
Po Box 781076,
Detroit, MI 48278-1076

Ph: (317) 528-4800
Dr Niket Shah, DO
24 Joliet St,
Dyer, IN 46311-1705

Ph: (219) 865-2141

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Hospitalist Doctors in Dyer, IN

Jeannie Boram Ur, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-865-2141    Fax: 219-933-2288
Dr. Harold Leroy Rahming, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 24 Joliet St, Dyer, IN 46311
Phone: 219-865-2141    Fax: 219-933-2288

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