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

Ketankumar Shah, MD

Individual provider Internal Medicine Physician · NPI 1659761948

Ketankumar Shah, MD is an Internal Medicine in Edison, New Jersey. Qualified in 2010, 16 years ago. Practices with Windham Community Memorial Hospital Inc, a 64-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
16
Licensed in
CT
In the registry since
2015
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

608 Cinder Rd
Edison, NJ 08820-3373
Phone: (732) 429-5499
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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 054281 (CT)

Record details

NPI number1659761948
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 26, 2015
Last updated in NPPESSeptember 1, 2015
Mailing address608 Cinder Rd, Edison, NJ 08820-3373

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Windham Community Memorial Hospital Inc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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