Shetal Padia, MD
NPI 1679797302 · Endocrinology, Diabetes & Metabolism Physician · York, PA
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shetal Padia, MD is a Endocrinology, Diabetes & Metabolism Physician provider in York, PA (NPI 1679797302).
Provider details
- NPI number
- 1679797302
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD479771 (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
19 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
297 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 | 180 | $121 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 47 | $159 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 32 | $33 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 19 | $86 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 19 | $171 |
Typical Medicare-allowed amounts for these services range $33–$171 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, 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 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 181 | 45 |
| Semaglutidebrand: Ozempic | 106 | 26 |
| Insulin Glargine,hum.rec.anlogbrand: Lantus Solostar | 81 | 34 |
| Alendronate Sodium | 66 | 19 |
| Metformin Hcl | 56 | 23 |
| Metformin Hclbrand: Metformin Hcl Er | 55 | 19 |
Practice location
Mailing address
Additional practice locations (1)
- 415 Ray C. Hunt DriveCharlottesville, VA 22903Phone: (434) 924-1825Fax: (434) 982-3628
Registry dates
- Enumerated
- 2007-04-12
- Last updated
- 2023-05-08
- Certified
- 2023-05-08
Frequently asked questions
- What is Shetal Padia's NPI number?
- Shetal Padia's National Provider Identifier (NPI) is 1679797302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shetal Padia's specialty?
- Shetal Padia is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Shetal Padia located?
- Shetal Padia's practice location on file with NPPES is 1600 6th Ave Ste 102, York, PA 17403-2626.
- What is Shetal Padia's phone number?
- The practice phone number listed in the NPPES registry for Shetal Padia is (717) 849-5500.
- Does Shetal Padia accept Medicare?
- Shetal Padia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shetal Padia's NPI active?
- Yes — Shetal Padia's NPI (1679797302) is active in the NPPES registry as of the last update on 2023-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.