GAURAV R SHAH MD
NPI 1013029289
Internal Medicine - Nephrology in Stuart, FL

Q: What is Gaurav Shah's NPI number?

The NPI number for Gaurav Shah is 1013029289. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Gaurav Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Gaurav Shah was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

500 SE OSCEOLA ST, STE 200, STUART, FL 34994(772) 286-1550(772) 221-0569 Get Directions Write a Review

NPPES record last updated: October 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Gaurav R Shah Md NPPES

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

GAURAV R SHAH MD (NPI 1013029289) is an individual nephrology provider in Stuart, Florida, licensed in Florida (ME115947) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013029289

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameGAURAV R SHAHCredential: MD

Location Address500 SE OSCEOLA ST, STE 200Stuart, FL 34994-2364

Mailing AddressPo Box 417Stuart, FL 34995-0417 · (772) 223-2832 · Fax (772) 223-5646

Phone(772) 286-1550

Fax(772) 221-0569

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateAugust 31, 2006

Last NPPES UpdateOctober 13, 2020

NPPES CertifiedOctober 13, 2020

✔ NPI 1013029289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME115947

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

500 SE OSCEOLA ST, Stuart, FL 34994

Open in Google Maps ↗

Other Identifiers 1

Medicaid009080500FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.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

Gaurav R Shah Md 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 ID5698783306

PECOS Enrollment IDI20130802000637

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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

504 services182 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.

476 services316 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

204 services149 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

121 services87 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

65 services62 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

58 services31 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

49 services40 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

37 services34 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.

36 services36 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

22 services22 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

Tampa General Hospital Crystal River

Acute Care Hospitals · Crystal River, FL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100249

Location6201 N Suncoast BlvdCrystal River, FL 34428 · Citrus County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34994 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.75

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers43 claims4,145 services$0.31 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers23 claims2,820 services$0.97 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

7 suppliers52 claims52 services$18.00 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

5 suppliers35 claims45 services$12.63 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 7

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

DR. RESHAM KHILNANI M.D.

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

DR. JEFFREY L GLICKMAN M.D.

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

HARVEY B ULANO M.D.

Specialist

500 SE OSCEOLA ST, SUITE 200
STUART, FL 34994

Martin County (772) 286-1555

DR. JEAN AUKERMAN VICKERS M.D.

Internal Medicine (Nephrology)

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

DR. ADARSHA SHRESTHA M.D.

Specialist

500 SE OSCEOLA ST, STE 200
STUART, FL 34994

Martin County (772) 286-1550

DIANE HUBERTZ HAUGE ARNP

Nurse Practitioner

500 SE OSCEOLA ST, SUITE 100
STUART, FL 34994

Martin County (772) 286-1550

NEPHROLOGY & INTERNAL MEDICINE ASSOCIATES

Specialist

500 SE OSCEOLA ST
STUART, FL 34994

Martin County (772) 286-1555

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 Gaurav Shah's NPI number?

The NPI number for Gaurav Shah is 1013029289. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Gaurav Shah located?

Gaurav Shah practices at 500 SE Osceola St Ste 200, Stuart, FL 34994. The listed phone number is (772) 286-1550.

What is Gaurav Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Gaurav Shah enrolled in Medicare?

Yes. Gaurav 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 Gaurav Shah accept?

Health plans from Ambetter Health, Ambetter of Alabama, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Gaurav 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.

Is Gaurav Shah affiliated with any hospitals?

According to CMS data, Gaurav Shah is affiliated with Cleveland Clinic Martin North Hospital and Tampa General Hospital Crystal River.

When was this NPI record last updated?

The NPPES record for Gaurav Shah was last updated on October 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.