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Active NPI 1508919804 Individual Practitioner Male Practitioner

Dr. Keyurkumar Anilkumar Shah , MD

Surgery • Worthington, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Keyurkumar Shah, MD is a certified Surgery practicing in Worthington, MN. With approximately 38 years of clinical experience since completing medical education in 1988, Dr. Shah delivers high-quality medical care to the local community at 1216 RYANS RD STE 1.

Dr. Shah is affiliated with Avera Marshall and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1216 Ryans Rd Ste 1

Worthington, MN 561871722

Telephone 5073722921
Associated Practice Facility / Clinic
🏢 Avera Mckennan Facility NPI 1093812471

Medicare Profile & Education

Medical School

Other

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Worthington, MN

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
38 Yrs +10.3 yrs vs City Avg
City Avg: 27.7 Yrs
State Avg: 23.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Worthington, MN (770 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
0.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (38 Years) 38 Yrs
Worthington Specialty Average (27.7 Years) 27.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
13 13 $74.13 $74.03

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MN 60575

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License MD D0059271

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License VA 0101239675

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NM MD2012-0683

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

State License NM MD2012-0683

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4043561 00 (MD)

Hospital & Practice Group Affiliations

Avera Marshall

300 S Bruce St, Marshall, MN 562581934

Phone: 5075329661

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Dr. Larry Foster , DO

Family Medicine

NPI 1003877127

Doctor of Osteopathic Medicine (D.O.)

NPI 1003900614

Doctor of Medicine (M.D.)

Noune Petrosian , PA-C

Physician Assistant - Surgical

NPI 1013003706

Physician Assistant (Certified)

Alexis Burket , CNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013793694

Certified Nurse Practitioner

Dr. Keith Towne , MD

Internal Medicine

NPI 1053406660

Doctor of Medicine (M.D.)

NPI 1114013638

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2022

Surgery (License #D0059271 in MD)

NPI Profile Active May 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2017

Registered at 1216 RYANS RD STE 1, WORTHINGTON, MN 561871722 (Tel: 5073722921)

📍
Updated Business Mailing Address May 18, 2017

Registered at 1216 RYANS ROAD, WORTHINGTON, MN 56187 (Tel: (507) 372-2921)

👤
Provider Name / Credentials Updated May 18, 2017

Recorded as KEYURKUMAR SHAH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2017

Surgery (License #60575 in MN)

NPI Profile Active July 26, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2013

Registered at 42121 US HWY 70, PORTALES, NM 881309347 (Tel: 5753566652)

📍
Updated Business Mailing Address July 26, 2013

Registered at PO BOX 299, PORTALES, NM 881309347 (Tel: 5753566652)

👤
Provider Name / Credentials Updated July 26, 2013

Recorded as KEYURKUMAR SHAH, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2013

Surgery (License #MD2012-0683 in NM)

🟢
Initial NPI Registration & Enumeration January 19, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508919804
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 19, 2007
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

1216 Ryans Road

Worthington, MN 56187

Phone: 5073722921

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.