NIKITA SHAH M.D.
NPI 1982023487
Pediatrics in Wilmington, DE
NPI Status: Active since April 11, 2014
Contact Information
1600 ROCKLAND RD
SUITE 2B80
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-5874
Fax: (302) 651-5954
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About NIKITA SHAH
This page provides the complete NPI Profile along with additional information for Nikita Shah, a pediatrician established in Wilmington, Delaware with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1982023487 assigned on April 2014. The practitioner's primary taxonomy code is 208000000X with license number D83001 (MD). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1982023487
- Provider Name
- NIKITA SHAH M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1600 ROCKLAND RD SUITE 2B80 WILMINGTON, DE 19803
- Location Phone
- (302) 651-5874
- Location Fax
- (302) 651-5954
- Mailing Address
- 1600 ROCKLAND RD SUITE 2B80 WILMINGTON, DE 19803
- Mailing Phone
- (302) 651-5874
- Mailing Fax
- (302) 651-5954
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-11-2014
- Last Update Date
- 11-21-2018
- Code Navigator
A pediatrician like Nikita Shah is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- D83001
- License State
- MD
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nikita Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19803 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 8 | 2 | 0 | 2 | 3 | 4 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 16 | 2 | 0 | 2 | 6 | 4 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 1 + 6 + 2 + 0 + 2 + 6 + 4 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1982023487 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1336128347 | LAUREN GILBERT PA-C Individual | Physician Assistant | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-6159 |
| 1306816681 | DR. AAISHA HAQUE M.D. Individual | Allergy & Immunology | 1600 ROCKLAND RD DEPT OF ALLERGY WILMINGTON, DE 19803 (302) 984-2577 |
| 1588616544 | DR. COLETTE COLLINS MULL M.D. Individual | Emergency Medicine (Pediatric Emergency Medicine) | 1600 ROCKLAND RD AI DUPONT HOSPITAL FOR CHILDREN WILMINGTON, DE 19803 (302) 651-4200 |
| 1841229994 | MRS. SUSAN DUBOWY PA-C Individual | Physician Assistant | 1600 ROCKLAND RD DEPARTMENT OF ORTHOPEDICS, DUPONT HOSPITAL WILMINGTON, DE 19803 (302) 651-5913 |
| 1043230634 | AREZOO ZOMORRODI M.D. Individual | Pediatrics (Pediatric Emergency Medicine) | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-4296 |
| 1740388727 | LIESL RHENATA PERRY LOONEY AUD, CCC-A Individual | Audiologist | 1600 ROCKLAND RD AUDIOLOGY DEPARTMENT WILMINGTON, DE 19803 (302) 651-6052 |
| 1568553535 | LETITIA A KANAR RPH Individual | Pharmacist | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-5702 |
| 1902986557 | ABIGAIL F. FREEDMAN MD Individual | Pediatrics (Pediatric Infectious Diseases) | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-4421 |
| 1063544294 | DR. JOCELYN MICHELE GRAZELA M.D. Individual | Pediatrics | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-5874 |
| 1093849655 | MR. STEVEN B BRANGS R.PH Individual | Pharmacist | 1600 ROCKLAND RD DUPONT HOSPITAL FOR CHILDREN WILMINGTON, DE 19803 (302) 651-4649 |
| 1811016876 | MR. DAVID ROVNER RPH Individual | Pharmacist | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-5710 |
| 1497977342 | MR. MICHAEL JOHN GOLDSMITH MSW Individual | Social Worker (Clinical) | 1600 ROCKLAND RD A.I. DUPONT HOSPITAL FOR CHILDREN WILMINGTON, DE 19803 (302) 651-4556 |
| 1932301512 | DR. NINA POWELL-HAMILTON M.D. Individual | Medical Genetics (Clinical Genetics (M.D.)) | 1600 ROCKLAND RD MEDICAL GENETICS WILMINGTON, DE 19803 (302) 651-5916 |
| 1033314000 | DR. KELLY GRZYWACZ M.D. Individual | Pediatrics | 1600 ROCKLAND RD A. I. DUPONT HOSPITAL FOR CHILDREN WILMINGTON, DE 19803 (302) 651-5874 |
| 1467658252 | MRS. JOANNE QUILLEN CRNP Individual | Nurse Practitioner (Pediatrics) | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-4000 |
| 1023202611 | DR. VINAY VARDHAN REDDY KANDULA MBBS,FRCR, MRCP, DCH Individual | Radiology (Pediatric Radiology) | 1600 ROCKLAND RD DEPARTMENT OF RADIOLOGY, A.I DUPONT CHILDREN'S HOSPITAL WILMINGTON, DE 19803 (302) 651-4664 |
| 1033308648 | MRS. AMY LYNN HARRISON M.A., CCC-A Individual | Audiologist | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-6043 |
| 1568651826 | STACY SZYMKOWSKI M.A., CCC-A Individual | Audiologist | 1600 ROCKLAND RD AUDIOLOGY DEPARTMENT WILMINGTON, DE 19803 (302) 651-6043 |
| 1851570204 | STEPHANIE RUBAN Individual | Speech-Language Pathologist | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-4350 |
| 1184803546 | MISS HEATHER MARIE SMALL M.S. CCC-SLP Individual | Speech-Language Pathologist | 1600 ROCKLAND RD WILMINGTON, DE 19803 (302) 651-4000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982023487, enumerated in the NPI registry as an "individual" on April 11, 2014
The provider is located at 1600 Rockland Rd Suite 2b80 Wilmington, De 19803 and the phone number is (302) 651-5874
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $88.37 with an average copayment of $22.09 for new patient appointments. Established patients should expect a typical charge of $100.68 and an average copayment of 25.17. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on April 11, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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