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

Mr. Ketan R Shah, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1922390210

Mr. Ketan R Shah, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Portsmouth, Virginia. Qualified in 2011, 15 years ago. Practices with Sheridan Healthcorp Inc, a 959-clinician group and accepts Medicare assignment. Licensed in Florida and Virginia.

Years since qualifying
15
Licensed in
FL, VA
In the registry since
2011
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

3200 Tyre Neck Rd Ste 101
Portsmouth, VA 23703-3329
Phone: (757) 399-7451
Fax: (757) 399-1158
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 0024169375 (VA)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence APRN9431447 (FL)

Record details

NPI number1922390210
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 5, 2011
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sheridan Healthcorp Inc — 959 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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