ASHVIN K SHAH M.D.
NPI 1013015270
Internal Medicine - Sleep Medicine in Yuma, AZ

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
82.37/100
CMS Quality Rating
2400 S AVENUE A, YUMA, AZ 85364(928) 336-3213 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 4, 2024, Aug 1, 2019 (2 updates tracked since 2019).

About Ashvin K Shah M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHVIN K SHAH M.D. (NPI 1013015270) is an individual sleep medicine provider in Yuma, Arizona, licensed in Arizona (14383) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1013015270
Entity TypeIndividualMale
Primary Taxonomy207RS0012X
Provider Legal NameASHVIN K SHAHCredential: M.D.
Location Address2400 S AVENUE AYuma, AZ 85364-7170
Mailing Address2110 W 24th StYuma, AZ 85364-8878 · (928) 344-1891 · Fax (928) 726-6306
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2025
NPI 1013015270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License Licensed in AZ · 14383
Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 14383 (AZ)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 14383 (AZ)
2400 S AVENUE A, Yuma, AZ 85364

Other Identifiers 1

Medicaid232421AZ

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ashvin K Shah M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870559271
PECOS Enrollment IDI20041207001283
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 16

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
18,176 services34 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,980 services20 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
557 services334 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
247 services81 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
162 services162 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
142 services141 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.57
Promoting Interoperability100
Improvement Activities40
Cost57.66

Referred Medical Equipment & Supplies CMS DME claims 32

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers210 claims210 services$37.00 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
5 suppliers28 claims56 services$1.48 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
26 suppliers536 claims536 services$86.55 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
26 suppliers510 claims1,162 services$33.93 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
17 suppliers299 claims1,379 services$19.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
21 suppliers325 claims1,528 services$14.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
2400 S AVENUE A
YUMA, AZ 85364
Emergency Medicine
2400 S AVENUE A
YUMA, AZ 85364
Dietitian, Registered
2400 S AVENUE A
YUMA, AZ 85364
Anesthesiology
2400 S AVENUE A
YUMA, AZ 85364
Hospitalist
2400 S AVENUE A, YUMA REGIONAL MEDICAL CENTER
YUMA, AZ 85364
Nurse Practitioner (Acute Care)
2400 S AVENUE A
YUMA, AZ 85364
Pharmacist (Pharmacotherapy)
2400 S AVENUE A
YUMA, AZ 85364
Registered Nurse
2400 S AVENUE A
YUMA, AZ 85364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashvin Shah's NPI number?

The NPI number for Ashvin Shah is 1013015270. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Ashvin Shah located?

Ashvin Shah practices at 2400 S Avenue A, Yuma, AZ 85364. The listed phone number is (928) 336-3213.

What is Ashvin Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Ashvin Shah enrolled in Medicare?

Yes. Ashvin Shah is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ashvin Shah accept?

Health plans from Ambetter from Arizona Complete Health list Ashvin Shah as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ashvin Shah was last updated on January 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.