Ketan Shah, MD
NPI 1528098134 · Internal Medicine Physician · Charlotte, NC
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketan Shah, MD is a Internal Medicine Physician provider in Charlotte, NC (NPI 1528098134).
Provider details
- NPI number
- 1528098134
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 200000133 (NC)
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
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
192 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 | 106 | $122 |
| Amplifed Dna Or Rna Probe Detection of Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19) Antigen87635 | 27 | $50 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 23 | $161 |
| Automated Urinalysis Test81003 | 18 | $2 |
| Detection Test By Nucleic Acid for Multiple Types Influenza Virus87502 | 18 | $94 |
Typical Medicare-allowed amounts for these services range $2–$161 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 59 | 58 |
| Fluticasone Propionate | 58 | 58 |
| Cephalexin | 45 | 45 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 19 | 19 |
| Amoxicillin | 19 | 19 |
| Naproxen | 16 | 16 |
| Doxycycline Hyclate | 14 | 14 |
Practice location
Mailing address
Additional practice locations (4)
- 10210 Couloak DrSte ECharlotte, NC 28216-7679Phone: (704) 801-2000
- 5717 Albemarle RdCharlotte, NC 28212-1634Phone: (704) 563-2150
- 5727 Prosperity Crossing DrSte 1100Charlotte, NC 28269-2206Phone: (704) 863-9930
- 7810 Providence RdSte 102Charlotte, NC 28226-2954Phone: (704) 543-6636
Registry dates
- Enumerated
- 2006-07-03
- Last updated
- 2024-07-15
Frequently asked questions
- What is Ketan Shah's NPI number?
- Ketan Shah's National Provider Identifier (NPI) is 1528098134, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ketan Shah's specialty?
- Ketan Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ketan Shah located?
- Ketan Shah's practice location on file with NPPES is 14214 Ballantyne Lake Rd, Charlotte, NC 28277-3372.
- What is Ketan Shah's phone number?
- The practice phone number listed in the NPPES registry for Ketan Shah is (704) 667-2650.
- Does Ketan Shah accept Medicare?
- Ketan Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ketan Shah's NPI active?
- Yes — Ketan Shah's NPI (1528098134) is active in the NPPES registry as of the last update on 2024-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.