Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaustav Shah

Individual provider Internal Medicine Physician · NPI 1902483605

Kaustav Shah is an Internal Medicine in Philadelphia, Pennsylvania. Graduated from Vanderbilt University School of Medicine in 2021, 5 years ago. Practices with University of Penn-Medical Group, a 3,401-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
5
Trained at
Vanderbilt University School of Medicine
Licensed in
PA
In the registry since
2021
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Practice location Address checks out

3400 Spruce St Fl MALONEY5
Philadelphia, PA 19104-4238
Phone: (215) 662-3797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 484199 (PA)

Record details

NPI number1902483605
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2021
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice University Of Penn-Medical Group — 3401 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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