Sanjay Shah, MD
Pain Medicine Physician · Spring House, PA
Sanjay Shah, MD is a pain medicine physician with a practice address in Spring House, Pennsylvania, and NPI 1770558413, issued on Feb 17, 2006. Check the license (Pennsylvania MD425587, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.
- Name
- Sanjay Shah
- Credential
- MD
- Primary taxonomy
- Pain Medicine Physician 208VP0000X
- License number
- MD425587 PA
Self-reported in NPPES; status is on the state search - Practice location
- 904 Sumneytown Pike Ste 101, Spring House, PA 19002
- Phone
- (215) 699-7246
- Enumerated
- Feb 17, 2006
- Record last updated
- Apr 19, 2017 (not updated in 9 years: call before relying on the address or phone)
- Fax
- (215) 699-4393
- Medicare enrollment
- Enrolled (PECOS I20060724000144); accepts Medicare assignment
- Medical or professional school
- Ponce School Of Medicine, 2001
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
8 nearest pain medicine physician records → All 57 in Pennsylvania → Look up another NPI →
Verify Sanjay Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
Search for license MD425587Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
4.0 times the Medicare Part D claims of the average pain medicine physician in 2024
8,452 Medicare Part D claims for 761 beneficiaries, against an average of 2,095 among the 944 providers of this specialty who prescribed in Part D. Brand-name drugs were 5% of claims. 5,270 claims were for opioids.
Most prescribed
- Oxycodone-Acetaminophen1,658 claims
- Oxycodone Hcl1,289 claims
- Gabapentin1,072 claims
- Morphine Sulfate Er554 claims
- Hydrocodone-Acetaminophen539 claims
- Tramadol Hcl436 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
No measured MIPS final score for 2023
CMS assigned the neutral MIPS final score of 75 without scoring Quality, Cost, Promoting Interoperability or Improvement Activities. It is an administrative threshold, so PlainDoctor does not compare it with measured clinicians.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $9,976.30
147 payments; by number, the most common kind was food and beverage; the largest payer was SurGenTec. The 769 providers of this specialty with any payment received $3,397.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 6 group practices
- Novacare Outpatient Rehabilitation East, Inc.Collegeville, PA
- Oxygen Oasis Hyperbaric Wellness Center, LLCLanghorne, PA
- Oxygen Therapurity, LLCLanghorne, PA
- Phoenix Rehabilitation And Health Services IncCranberry Twp, PA
- Rehabclinics Spt IncChalfont, PA
- SE Pain Management, LtdAbington, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Sanjay Shah among 57 pain medicine physician records in Pennsylvania
Sanjay Shah, MD is one of 57 pain medicine physician records with a practice address in Pennsylvania. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 19% of them.
- NPI issued2006 · 19% of these records are older, 58% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 63% of these records are
- Graduated2001 · median 2003 among the 36 with a school on file
- Record last updated2017 · 44% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208VP0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1 pain medicine physician record lists a practice address in Spring House
They are 1 of the 65 NPPES records with a practice address in Spring House, and 57 pain medicine physician records in Pennsylvania.
All 57 in Pennsylvania → Every provider in Spring House → Pain Medicine Physician nationwide →
The 8 pain medicine physician records with the nearest ZIP codes
- Philip Kim, MDBryn Mawr, PA 190101932194701
- Michael Schina, M.D.Bensalem, PA 190201003120213
- Justin Winas, D.O.Fort Washington, PA 190341679789010
- Barry Korn, D.O.Holland, PA 189661790714293
- Michelle Caporaletti, D.O.Horsham, PA 190441881846749
- Venkatesh Sundararajan, M.D.Horsham, PA 190441003022500
- Joseph Hayes, MDTrevose, PA 190531275510158
- Merrill Mirman, D.O.Media, PA 190631760478697
Common questions
What is Sanjay Shah, MD's NPI number?
Sanjay Shah, MD's National Provider Identifier (NPI) is 1770558413, issued on Feb 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Sanjay Shah, MD located?
The NPPES record lists a practice address at 904 Sumneytown Pike Ste 101, Spring House, PA, 19002. Phone: (215) 699-7246. Providers update this record themselves, so call before visiting.
How can I verify Sanjay Shah, MD's license?
NPPES lists Pennsylvania license number MD425587, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Sanjay Shah, MD prescribe under Medicare Part D?
In 2024, Sanjay Shah, MD had 8,452 Medicare Part D claims for 761 beneficiaries; the average among pain medicine physician prescribers was 2,095. Part D covers Medicare prescriptions only.
What is Sanjay Shah, MD's MIPS final score?
CMS assigned the neutral MIPS final score of 75 for 2023 without scoring any category, so it is not a measured result.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.