Active NPI 1578583605 Individual Practitioner Male Practitioner

Dr. Arshad Ali Shah , MD

Hospitalist • Kettering, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Arshad Shah, MD is a certified Hospitalist practicing in Kettering, OH. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Shah delivers high-quality medical care to the local community at 3535 SOUTHERN BLVD.

Dr. Shah is affiliated with Kettering Independent Medical Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3535 Southern Blvd

Kettering, OH 454291221

Telephone 9373956665

Fax 9373956668

Associated Practice Facility / Clinic

🏢 Kettering Physiatrists, Inc. Facility NPI 1902893035

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Hospitalist in Kettering, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +14.5 yrs vs City Avg

City Avg: 17.5 Yrs

State Avg: 17.5 Yrs

Regional Practice Density

28 Specialists

Practicing in Kettering, OH (983 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (32 Years) 32 Yrs

Kettering Specialty Average (17.5 Years) 17.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	300	140	$128.00	$74.13
99239 Hospital discharge day management, more than 30 minutes	149	147	$283.00	$107.99
99231 Follow-up hospital inpatient care per day, typically 15 minutes	140	72	$104.00	$46.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$528.00	$161.54
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	18	$183.00	$110.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$360.00	$124.67
99238 Hospital discharge day management, 30 minutes or less	12	12	$189.00	$72.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	315	148	$187.90	$76.98
99231 Follow-up hospital inpatient care per day, typically 15 minutes	168	79	$105.54	$48.66
99239 Hospital discharge day management, more than 30 minutes	147	143	$382.80	$111.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$714.90	$169.40
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	19	$933.37	$116.23
99238 Hospital discharge day management, 30 minutes or less	22	22	$232.76	$78.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	231	106	$121.96	$70.02
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	165	88	$174.00	$100.43
99239 Hospital discharge day management, more than 30 minutes	135	132	$269.00	$102.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	40	$502.00	$194.21
99225 Subsequent observation care, typically 25 minutes per day	22	13	$122.00	$69.70
99220 Hospital observation care, typically 70 minutes	14	14	$466.00	$175.21
99217 Hospital observation care on day of discharge	14	14	$182.00	$69.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	309	136	$121.00	$71.14
99239 Hospital discharge day management, more than 30 minutes	128	128	$269.00	$103.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	119	67	$174.00	$100.24
99217 Hospital observation care on day of discharge	30	30	$182.00	$71.06
99225 Subsequent observation care, typically 25 minutes per day	28	14	$122.00	$71.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$502.00	$198.22
99220 Hospital observation care, typically 70 minutes	21	21	$466.00	$180.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	432	78	$136.00	$65.62
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	306	139	$120.08	$72.12
99239 Hospital discharge day management, more than 30 minutes	125	123	$267.34	$106.34
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	111	29	$136.00	$65.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	79	52	$172.92	$104.59
99306 Initial nursing facility visit, typically 45 minutes per day	71	66	$329.00	$159.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	52	33	$180.00	$86.52
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	41	41	$496.33	$200.44
99225 Subsequent observation care, typically 25 minutes per day	38	20	$121.26	$72.98
99220 Hospital observation care, typically 70 minutes	25	25	$457.60	$185.13
99217 Hospital observation care on day of discharge	20	20	$181.00	$72.76

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	420	183	$116.24	$71.99
99239 Hospital discharge day management, more than 30 minutes	144	141	$258.85	$105.23
99225 Subsequent observation care, typically 25 minutes per day	56	35	$118.00	$72.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	54	36	$169.00	$103.13
99217 Hospital observation care on day of discharge	41	41	$177.00	$72.10
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	21	$487.48	$200.57
99220 Hospital observation care, typically 70 minutes	23	22	$452.00	$184.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	480	204	$114.97	$70.99
99239 Hospital discharge day management, more than 30 minutes	147	144	$172.80	$105.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	87	58	$168.31	$102.19
99225 Subsequent observation care, typically 25 minutes per day	63	38	$119.43	$71.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	60	$456.91	$198.81
99217 Hospital observation care on day of discharge	57	57	$115.88	$71.28
99220 Hospital observation care, typically 70 minutes	56	55	$299.04	$182.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$216.00	$134.25
99219 Hospital observation care, typically 50 minutes	13	13	$218.92	$133.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	377	196	$115.30	$70.09
99239 Hospital discharge day management, more than 30 minutes	170	166	$172.59	$103.37
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	146	98	$169.00	$101.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	54	$467.14	$198.02
99220 Hospital observation care, typically 70 minutes	54	53	$300.94	$181.34
99225 Subsequent observation care, typically 25 minutes per day	51	40	$119.47	$71.08
99217 Hospital observation care on day of discharge	49	49	$116.02	$69.33
99226 Subsequent observation care, typically 35 minutes per day	18	15	$170.00	$102.62

Medical Specialties & State Licenses

CMS Verified: 2020-11-23

Hospitalist Primary Specialty

NUCC Taxonomy Code: 208M00000X

State License OH 35.088477

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2817634 (OH)

Medicaid State Provider ID

1017247320001 (PA)

Commercial Insurance / Payer ID First Priority Health

820449 (PA)

Commercial Insurance / Payer ID Aetna

7705868 (PA)

Commercial Insurance / Payer ID Healthamerica

45062 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

1877245 (PA)

Hospital & Practice Group Affiliations

Kettering Independent Medical Group Inc

4403 Far Hills Ave, Kettering, OH 454292405

Phone: 9374335309

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958646

Kettering Independent Medical Group Inc

3535 Southern Blvd, Kettering, OH 454291221

Phone: 9373958251

Kettering Independent Medical Group Inc

4441 Far Hills Ave, Kettering, OH 454292405

Phone: 9372987751

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Sylvia Polenakovik , MD

Internal Medicine

NPI 1003842550

Doctor of Medicine (M.D.)

Dr. Swathi Datla , MBBS

Hospitalist

NPI 1013222603

Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.)

Dr. Jeremy Chapman , DO

Hospitalist

NPI 1013341098

Doctor of Osteopathic Medicine (D.O.)

Dr. Ajay Sodhi , MD

Hospitalist

NPI 1023258381

Doctor of Medicine (M.D.)

Jennifer Allender , PA-C

Physician Assistant - Medical

NPI 1033624192

Physician Assistant (Certified)

Naveen Vijayam

Hospitalist

NPI 1033747092

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location November 23, 2020

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373956665)

📍

Updated Business Mailing Address November 23, 2020

Registered at 3535 SOUTHERN BLVD, KETTERING, OH 454291221 (Tel: 9373956665)

✅

NPI Profile Active September 28, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2015

Registered at 30 E APPLE ST, STE 6250, DAYTON, OH 454092939 (Tel: 9372088394)

📍

Updated Business Mailing Address September 28, 2015

Registered at 30 E APPLE ST, STE 6250, DAYTON, OH 454092939 (Tel: 9372088394)

👤

Provider Name / Credentials Updated September 28, 2015

Recorded as ARSHAD SHAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2015

Hospitalist (License #35.088477 in OH)

🟢

Initial NPI Registration & Enumeration July 20, 2006

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: 1578583605

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2006

Last Update: November 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3535 Southern Blvd

Kettering, OH 454291221

Phone: 9373956665

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.