Dr. Ketan A. Shah, MD
- Medicare services, 2024
- 2,445
- Medicare patients, 2024
- 523
- Part D claims, 2024
- 55
- MIPS score, 2024
- 75
- Hospital affiliations
- 1
- Practice address
- 4224 Lincolnshire Dr, Mount Vernon, IL 62864
- Practice phone
- Call (618) 816-0715
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Midwest Sinus Sleep & Allergy Associates
Mount Vernon, Illinois
Find Dr. Shah's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Ketan A. Shah is an otolaryngologist in Mount Vernon, Illinois
Dr. Shah practices at Midwest Sinus Sleep & Allergy Associates in Mount Vernon, Illinois.
Dr. Shah's NPI, 1841306693, was assigned on August 22, 2006. Dr. Shah graduated from Rutgers New Jersey Medical School in 1994. Dr. Shah holds Illinois license 036-101869.
- NPI
- 1841306693NPI Registry (opens in a new tab)
- Medicare PAC ID
- 2264574359
- NPI enumeration date
- August 22, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (618) 816-0715
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 58
- Medical school graduation
- 1994
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Ketan A. Shah practices at Midwest Sinus Sleep & Allergy Associates in Mount Vernon, Illinois
Dr. Shah's primary practice is Midwest Sinus Sleep & Allergy Associates, at 4224 Lincolnshire Dr, Mount Vernon, IL 62864 in Jefferson County. The practice phone is (618) 816-0715.
- Midwest Sinus Sleep & Allergy Associates4224 Lincolnshire Dr, Mount Vernon, IL 62864 · Jefferson CountyPhone(618) 816-0715
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Ketan A. Shah is affiliated with 4 sites of care and 1 medical group
Dr. Shah's primary practice is Midwest Sinus Sleep & Allergy Associates in Mount Vernon, Illinois. Dr. Shah is also affiliated with Memorial Hospital in Belleville. The medical group on file is Midwest Sinus, Sleep & Allergy Associates. Dmand AI also links Dr. Shah to 1 more physician office and 1 group practice or clinic, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Ketan A. Shah's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Shah practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Midwest Sinus Sleep & Allergy Associates | Available with a free account |
| +3 more affiliated sites | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Ketan A. Shah is one of 401 otolaryngologists in Illinois
Otolaryngology is Dr. Shah's primary specialty in the NPI Registry, under taxonomy code 207Y00000X. Dr. Shah is licensed in Illinois.
Specialties and state licenses
- Otolaryngology, IllinoisPrimary
Otolaryngologists near Dr. Shah
Counts of otolaryngologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Ketan A. Shah billed Medicare for 2,445 services in 2024
CMS data shows 2,445 Medicare services from Dr. Shah across 9 procedure codes in 2024, for 523 Medicare patients. Medicare paid $32,366 for them. Every service was in an office.
Dr. Shah's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Tests and treatments
- 2023: 4,5992024: 2,42547%
- Office and hospital visits
- 2023: 222024: 209%
Dr. Shah compared with the Illinois median for otolaryngologists, 2024
- Dr. Shah
- Illinois median
- Medicare services
- 2,445vs 6034.1 times
- Medicare patients
- 523vs 29180% above
- Part D claims
- 26vs 16384% below
Medians across 384 otolaryngologists in Illinois with Dmand AI profiles that report each measure.
Dr. Shah's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
Need commercial claims for Dr. Shah?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Shah and other otolaryngologists in Illinois.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Ketan A. Shah treated 523 Medicare patients in 2024, average age 72
CMS counts 523 Medicare patients who saw Dr. Shah in 2024. The largest group is 65 to 74, with 280 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 9% are also on Medicaid. Their average risk score is 1.04, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Shah's median patient age at 60, with 46% women.
Dr. Shah's Medicare patients by age, 2024
Dr. Shah's Medicare patients by sex, 2024
- Women27953%
- Men24447%
Chronic conditions among Dr. Shah's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis50%
- Diabetes35%
- Ischemic heart disease30%
- Mood disorders28%
- Anxiety27%
- Chronic kidney disease26%
Share of Medicare patients with each condition. A patient can have several.
Dr. Shah's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 60
Patient panel by sex, all payers
- Women46%
- Men54%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Ketan A. Shah wrote 55 Medicare Part D claims in 2024
In 2024, Dr. Shah wrote 55 Medicare Part D claims for 29 patients. 89% of them were for generic drugs. CMS names the drug for 26 of them, across 2 drugs with 11 or more claims each, at $289 in total drug cost. In 2023, CMS named 80 claims across 4 drugs.
Dr. Shah's Part D claims by kind of drug, 2024
- Generic49 claims89%
- Brand-name and other6 claims11%
Dr. Shah's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 802024: 2668%
Drugs named by CMS: 2 in 2024, 4 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Ketan A. Shah scored 75 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 75 out of 100 for Dr. Shah for performance year 2024, reported as part of a group. Dr. Shah accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Shah's MIPS scores, performance year 2024
- 75of 100Final score
- 63.9of 100Quality
- 80of 100Promoting Interoperability
- 40of 100Improvement Activities
- 70of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Ketan A. Shah received $5,501 in industry payments from 2016 to 2025
CMS Open Payments shows 128 general payments to Dr. Shah from 27 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 75% of the total. Entellus Medical, Inc. paid the most, $2,221.
General payments to Dr. Shah by program year, 2016 to 2025
General payments to Dr. Shah by kind, 2016 to 2025
- Food and beverage$4,12675%
- Travel and lodging$1,37525%
Companies that paid Dr. Shah the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Ketan A. Shah graduated from Rutgers New Jersey Medical School
Dr. Shah graduated from Rutgers New Jersey Medical School in 1994.
- Medical school
Source: Dmand AI Professional Profile Data
Sources for Dr. Ketan A. Shah's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Ketan A. Shah
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Dr. Ketan A. Shah's NPI number?
Dr. Ketan A. Shah's NPI number is 1841306693. It was assigned on August 22, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Ketan A. Shah?
Dr. Ketan A. Shah is an otolaryngologist in Mount Vernon, Illinois. The primary specialty in the NPI Registry is Otolaryngology Physician (taxonomy code 207Y00000X).
Where does Dr. Ketan A. Shah practice?
Dr. Shah practices at 4224 Lincolnshire Dr, Mount Vernon, IL 62864. Dr. Shah's primary practice is Midwest Sinus Sleep & Allergy Associates in Mount Vernon, Illinois. Dmand AI also links Dr. Shah to 1 physician office and 1 group practice or clinic.
What is Dr. Ketan A. Shah's office phone number?
The practice phone on file for Dr. Shah is (618) 816-0715.
What is Dr. Ketan A. Shah's medical license number?
Dr. Shah holds Illinois license 036-101869.
Which hospitals is Dr. Ketan A. Shah affiliated with?
Dr. Shah is affiliated with Memorial Hospital in Belleville.
What medical group is Dr. Ketan A. Shah part of?
Dr. Shah is linked to Midwest Sinus, Sleep & Allergy Associates.
Does Dr. Ketan A. Shah accept Medicare?
Yes. CMS data shows Dr. Shah billed Medicare for 2,445 services in 2024, and Dr. Shah accepts Medicare assignment.
What is Dr. Ketan A. Shah's MIPS score?
Dr. Shah's MIPS final score for performance year 2024 is 75 out of 100, reported as part of a group.
How many Medicare patients does Dr. Ketan A. Shah see?
CMS counts 523 Medicare patients who saw Dr. Shah in 2024, with an average age of 72.
Show 5 more questionsShow fewer questions
What services does Dr. Ketan A. Shah bill to Medicare?
In 2024, Dr. Shah's most billed Medicare services were allergy test or treatment (95004), nerve and brain test (95800) and ear, nose and throat service (92557).
Where did Dr. Ketan A. Shah go to medical school?
Dr. Shah graduated from Rutgers New Jersey Medical School in 1994.
What drugs does Dr. Ketan A. Shah prescribe most?
In 2024 Medicare Part D data, Dr. Shah's most prescribed drugs by claims were Fluticasone Propionate and Montelukast Sodium.
Has Dr. Ketan A. Shah received payments from drug or device companies?
CMS Open Payments shows $5,501 in general payments to Dr. Shah from 27 companies from 2016 to 2025. The largest total came from Entellus Medical, Inc.
How long has Dr. Ketan A. Shah been practicing?
Dr. Shah graduated from medical school in 1994, 32 years ago.
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