Ketan Shah, M.D.
NPI 1841306693 · Otolaryngology Physician · Columbia, IL
Enrolled with Medicare as Practitioner - Otolaryngology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketan Shah, M.D. is a Otolaryngology Physician provider in Columbia, IL (NPI 1841306693).
Provider details
- NPI number
- 1841306693
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036-101869 (IL)
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
19 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
2,445 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) |
|---|---|---|
| Test for Allergy Using Allergenic Extract95004 | 1,887 | $4 |
| Sleep Study Including Heart Rate, Breathing, and Sleep Time95800 | 217 | $66 |
| Comprehensive Hearing and Speech Recognition Test92557 | 133 | $34 |
| Sleep Study in Sleep Lab With Continuous Airway Pressure (6 Years Or Older)95811 | 75 | $114 |
| Sleep Study in Sleep Lab (6 Years Or Older)95810 | 49 | $110 |
| Test to Assess Middle Ear Function92567 | 31 | $15 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Fluticasone Propionate | 14 |
| Montelukast Sodium | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$228 across 9 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
- 2006-08-22
- Last updated
- 2020-05-18
- Certified
- 2020-05-18
Frequently asked questions
- What is Ketan Shah's NPI number?
- Ketan Shah's National Provider Identifier (NPI) is 1841306693, 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 Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Ketan Shah located?
- Ketan Shah's practice location on file with NPPES is 1000 Eleven S, Columbia, IL 62236-1080.
- What is Ketan Shah's phone number?
- The practice phone number listed in the NPPES registry for Ketan Shah is (618) 628-0715.
- 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 (1841306693) is active in the NPPES registry as of the last update on 2020-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.