Ketan Shah, M.D.
NPI 1790001535 · Internal Medicine Physician · Hanover, PA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketan Shah, M.D. is a Internal Medicine Physician provider in Hanover, PA (NPI 1790001535).
Provider details
- NPI number
- 1790001535
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD449148 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,016 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 522 | $114 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 220 | $110 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 210 | $166 |
| Critical Care, First 30-74 Minutes99291 | 51 | $205 |
| Smoking and Tobacco Use Intensive Counseling, 4-10 Minutes99406 | 13 | $11 |
Typical Medicare-allowed amounts for these services range $11–$205 (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 · 16 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Cefuroxime Axetilbrand: Cefuroxime | 55 | 53 |
| Prednisone | 37 | 34 |
| Apixabanbrand: Eliquis | 29 | 14 |
| Metoprolol Succinate | 27 | 22 |
| Amlodipine Besylate | 24 | 20 |
| Furosemide | 22 | 18 |
| Pantoprazole Sodium |
Practice location
Mailing address
Additional practice locations (2)
- 112 N 7th StChambersburg, PA 17201-1720Phone: (717) 217-4300Fax: (717) 217-4217
- 501 E Main StWaynesboro, PA 17268-2353Phone: (717) 765-4000Fax: (717) 765-3669
Registry dates
- Enumerated
- 2010-04-19
- Last updated
- 2020-12-12
- Certified
- 2020-12-12
Frequently asked questions
- What is Ketan Shah's NPI number?
- Ketan Shah's National Provider Identifier (NPI) is 1790001535, 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 300 Highland Ave, Hanover, PA 17331-2297.
- What is Ketan Shah's phone number?
- The practice phone number listed in the NPPES registry for Ketan Shah is (717) 316-3711.
- 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 (1790001535) is active in the NPPES registry as of the last update on 2020-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.