Ketul Shah, MD
NPI 1265630230 · Urology Physician · Westerville, OH
Enrolled with Medicare as Practitioner - Urology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketul Shah, MD is a Urology Physician provider in Westerville, OH (NPI 1265630230).
Provider details
- NPI number
- 1265630230
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 35121117 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,051 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Automated Urinalysis Test81003 | 293 | $2 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 216 | $88 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 186 | $125 |
| Ultrasound Measurement of Bladder Capacity After Voiding51798 | 63 | $10 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 52 | $161 |
| Diagnostic Exam of Bladder and Urethra Using an Endoscope52000 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Mirabegronbrand: Myrbetriq | 561 | 163 |
| Solifenacin Succinate | 525 | 173 |
| Tamsulosin Hcl | 378 | 127 |
| Methenamine Hippurate | 359 | 132 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 301 | 199 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 208 | 162 |
| Finasteride |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$293 across 5 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-07-11
- Last updated
- 2022-01-25
Frequently asked questions
- What is Ketul Shah's NPI number?
- Ketul Shah's National Provider Identifier (NPI) is 1265630230, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketul Shah's specialty?
- Ketul Shah is listed in the NPPES registry with a primary specialty of Urology Physician (Allopathic & Osteopathic Physicians).
- Where is Ketul Shah located?
- Ketul Shah's practice location on file with NPPES is 300 Polaris Pkwy Ste 2300, Westerville, OH 43082-7993.
- What is Ketul Shah's phone number?
- The practice phone number listed in the NPPES registry for Ketul Shah is (614) 788-2870.
- Does Ketul Shah accept Medicare?
- Ketul Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketul Shah's NPI active?
- Yes — Ketul Shah's NPI (1265630230) is active in the NPPES registry as of the last update on 2022-01-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.