NPI registry status
Active
2026 NPPES data Physical Medicine & Rehabilitation Physician NPI 1649275785 M.D.
Verify on CMS → Sanjay Shah, M.D.
Physical Medicine & Rehabilitation Physician in Toledo, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 15,306 in Physical Medicine & Rehabilitation Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
222
Medicare Part D claims · 39 beneficiaries · Physical Medicine & Rehabilitation Physician avg: 781
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Sanjay Shah, M.D. filed 222 Medicare Part D claims in 2023 as a Physical Medicine & Rehabilitation Physician in Toledo, Ohio, prescribing 92% generic.
- 222
- Part D claims, 2023
- 92%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Sanjay Shah, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
222 49th percentile higher than 49% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Sanjay Shah, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Sanjay Shah, M.D.?
Quality data not reportedPrimary specialty
Physical Medicine & Rehabilitation Physician
Medicare Part D claims
222 72% vs specialty avg
Specialty distribution in Ohio
How Physical Medicine & Rehabilitation Physician compares to other specialties among Ohio providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Physical Medicine & Rehabilitation Physician. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Sanjay Shah, M.D. appears in the CMS NPPES registry as a Physical Medicine & Rehabilitation Physician provider holding M.D. credentials at 4126 N. HOLLAND-SYLVANIA RD, Toledo, OH, 43623, with a listed phone of (419) 885-8449. NPI 1649275785 was issued on 06/16/2005.
Medicare Part D records for calendar year 2023 show 222 prescription claims written by this provider, covering 39 Medicare beneficiaries and totaling roughly $7K in drug spend, split 8% brand-name and 92% generic by claim count, with an opioid prescribing rate of 5.4%.
Physical Medicine & Rehabilitation Physician is a mid-sized specialty nationwide, with 15,306 enrolled providers across 54 states and an average of 781 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1649275785 |
|---|---|
| Specialty | Physical Medicine & Rehabilitation Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 06/16/2005 |
Hospital and facility affiliations
Facilities where Sanjay Shah, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Mercy Health Physicians North Specialty Care LLC
Toledo, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Sanjay Shah, M.D.. To verify Sanjay Shah, M.D.'s current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
Sanjay Shah, M.D. - brand share 8.0%
Physical Medicine & Rehabilitation Physician average
8% brand-name claims vs 92% generic, on 222 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
222
Total Claims
$7K
Total Drug Cost
39
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 270
- Total Day Supply
- 7,546
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $5K
- Generic Drug Cost
- $2K
- Opioid Claims
- 12 (5.4% rate)
Patient Demographics
- Average Patient Age
- 71.8 years
- Avg HCC Risk Score
- 2.21
- Gender Split
- 62% female / 38% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Sanjay Shah, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
28 claims
- Clopidogrel
Clopidogrel
16 claims
- Metoprolol Succinate
Metoprolol Succinate
13 claims
- Amlodipine Besylate
Amlodipine Besylate
12 claims
- Pantoprazole Sodium
Pantoprazole Sodium
12 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 28 |
| Clopidogrel Clopidogrel Bisulfate | 16 |
| Metoprolol Succinate | 13 |
| Amlodipine Besylate | 12 |
| Pantoprazole Sodium | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Physical Medicine & Rehabilitation Physician in OH →
All providers in Ohio →
Compare specialties →
Physical Medicine & Rehabilitation Physician Overview
How Sanjay Shah, M.D. fits within the Physical Medicine & Rehabilitation Physician landscape nationally.
15,306
Physical Medicine & Rehabilitation Physician Providers in US
54
States with Physical Medicine & Rehabilitation Physician
781
Avg Claims per Provider
Sanjay Shah, M.D.'s 222 claims are below the specialty average of 781.
Nearby Physical Medicine & Rehabilitation Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Shah.
Aaron Abner
Fairborn, OH
Dr. Laura Abounader
APRN-CNP
Parma, OH
Dr. Jaimie Adams
DPT
North Royalton, OH
Dr. Tandra Adams
PT
Gahanna, OH
Dr. Richard Glenn Aguilera
MD
Cleveland, OH
Compare Physical Medicine & Rehabilitation Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Physical Medicine & Rehabilitation Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Medical Specialties Explained
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Frequently Asked Questions
What is Sanjay Shah, M.D.'s specialty? ▼
Sanjay Shah, M.D. specializes in Physical Medicine & Rehabilitation Physician and practices in Toledo, Ohio. Credentials: M.D..
How much does Sanjay Shah, M.D. prescribe under Medicare Part D? ▼
In 2023, Sanjay Shah, M.D. wrote 222 Medicare Part D claims totaling $7K in drug costs for 39 beneficiaries.
Where is Sanjay Shah, M.D. located? ▼
Sanjay Shah, M.D. is located at 4126 N. HOLLAND-SYLVANIA RD, Toledo, OH, 43623. Phone: (419) 885-8449.
What is Sanjay Shah, M.D.'s NPI number? ▼
Sanjay Shah, M.D.'s National Provider Identifier (NPI) is 1649275785, issued on 06/16/2005.
Does Sanjay Shah, M.D. prescribe more brand-name or generic drugs? ▼
Sanjay Shah, M.D.'s prescribing is 8% brand-name and 92% generic drugs by claim count, with $5K in brand drug costs.
Does Sanjay Shah, M.D. prescribe opioids? ▼
Yes, Sanjay Shah, M.D. had 12 opioid claims in 2023 with an opioid prescribing rate of 5.4%.
How many Physical Medicine & Rehabilitation Physician providers are there in the US? ▼
There are 15,306 Physical Medicine & Rehabilitation Physician providers across 54 states in the US. The average Physical Medicine & Rehabilitation Physician provider writes 781 Medicare Part D claims per year.
What drugs does Sanjay Shah, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Sanjay Shah, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Clopidogrel, Metoprolol Succinate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Sanjay Shah, M.D. accept Medicare? ▼
Sanjay Shah, M.D. appears in CMS Medicare data with 222 Part D claims and 39 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Sanjay Shah, M.D.'s credentials? ▼
Sanjay Shah, M.D.'s NPI is 1649275785 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Compiled from official public sources by the PlainDoctor editorial team.