Shivani Shah, M.D.
NPI 1053721597 · Obstetrics & Gynecology Physician · Wilkes Barre, PA
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shivani Shah, M.D. is a Obstetrics & Gynecology Physician provider in Wilkes Barre, PA (NPI 1053721597).
Provider details
- NPI number
- 1053721597
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- MD465099 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
28 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 16 | $126 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 12 | $38 |
Typical Medicare-allowed amounts for these services range $38–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- Msc 10 55801 University of New MexicoAlbuquerque, NM 87131-0001Phone: (505) 272-9474
Registry dates
- Enumerated
- 2014-05-06
- Last updated
- 2022-02-15
- Certified
- 2022-02-15
Frequently asked questions
- What is Shivani Shah's NPI number?
- Shivani Shah's National Provider Identifier (NPI) is 1053721597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shivani Shah's specialty?
- Shivani Shah is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Shivani Shah located?
- Shivani Shah's practice location on file with NPPES is 1155 E Mountain Blvd, Wilkes Barre, PA 18702-7906.
- What is Shivani Shah's phone number?
- The practice phone number listed in the NPPES registry for Shivani Shah is (570) 808-7916.
- Does Shivani Shah accept Medicare?
- Shivani Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shivani Shah's NPI active?
- Yes — Shivani Shah's NPI (1053721597) is active in the NPPES registry as of the last update on 2022-02-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.