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

Sushrut S. Shah, MD

Individual provider Diagnostic Radiology Physician · NPI 1629086046

Sushrut S. Shah, MD practises Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Hahnemann University College of Medicine in 2000, 26 years ago. Practices with Radiology Associates of the Main Line P C, a 75-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
26
Trained at
Hahnemann University College of Medicine
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
3
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

10800 Knights Rd Attn: Radiology
Philadelphia, PA 19114-4200 Not confirmed with CMS for 10 years — call before visiting
Phone: (215) 612-2610
Fax: (215) 612-5077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD430272 (PA)
Neuroradiology Physician Taxonomy 2085N0700X · Licence MD430272 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA09271500 (NJ)

Record details

NPI number1629086046
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 3, 2006
Last updated in NPPESJanuary 20, 2016

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Radiology Associates Of The Main Line P C — 75 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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