Individual ProviderBhavesh ShahInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900(216) 778-7800(562) 595-5421PECOS EnrollmentBased on the most recent information from CMS, provider Bhavesh Shah is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1083658934Provider TypeIndividualFull NameShah, BhaveshCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date6/15/2006Last Updated12/27/2021Contact InformationPractice LocationPractice Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(216) 778-7800FaxUnlisted FaxMailing LocationMailing Address2500 Metrohealth Dr, Cleveland, OH 44109-1900Phone(562) 595-5421Fax(562) 426-2862Provider TaxonomiesCodeDescriptionLicenseCode207RG0100XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense224164MassachusettsCode207RG0100XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense356.139990Ohio