Ketankumar Shah, MD
NPI 1659761948ActiveIndividual· Internal Medicine· Edison, NJ
Internal Medicine (MD) with The William W Backus Hospital and 1 other group, practicing in Edison, New Jersey. In 2024 Medicare paid $41,157 for 186 patients, and Part D covered 343 of their prescriptions, 87% of them generic. Abbvie Inc. reported $22.04 in payments in 2025, mostly food and beverage. Lists Jfk University Medical Center and 1 other hospital as hospital affiliations.
Overview
| NPI | 1659761948 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 26, 2015 |
| Last updated in NPPES | Sep 1, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 054281 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (CT); Practitioner - Internal Medicine (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 186 |
|---|---|
| Services billed | 627 across 8 procedure codes |
| Paid by Medicare | $41,157 |
Part D prescriptions in 2024
| Prescriptions (claims) | 343 · 349 30-day fills |
|---|---|
| Patients | 157 |
| Total drug cost | $19,384 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical groups
- The William W Backus HospitalNorwich, CT · 249 clinicians
- Hospitalist Physicians of New Jersey PAEdison, NJ · 157 clinicians
Hospital affiliations
- Jfk University Medical CenterEdison, NJ
- William W Backus HospitalNorwich, CT
Other facilities
- Hartford Healthcare at HomeHospice · East Hartford, CT
Industry payments (Open Payments)
- 2025$22.04 · 1 payment from 1 company
- 2024$198.28 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $22.04 | 1 |
What the 2025 payments were for
- Food and Beverage$22.04 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 107 internal medicine physicians in Edison · All internal medicine physicians in New Jersey