SIMANT SHAH MD
NPI 1013151018
Emergency Medicine in Philadelphia, PA

Active since April 22, 2009PECOS Enrolled
87.9/100
CMS Quality Rating
3400 SPRUCE ST, ONE MALONEY, PHILADELPHIA, PA 19104(215) 662-6305 Get Directions Write a Review

NPPES record last updated: July 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 17, 2023, Jun 9, 2023, May 1, 2023 and 1 more (4 updates tracked since 2018).

About Simant Shah Md NPPES

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

SIMANT SHAH MD (NPI 1013151018) is an individual emergency medicine provider in Philadelphia, Pennsylvania, licensed in Massachusetts (1016080) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013151018
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameSIMANT SHAHCredential: MD
Location Address3400 SPRUCE ST, ONE MALONEYPhiladelphia, PA 19104-4206
Mailing Address3400 Spruce St, One MaloneyPhiladelphia, PA 19104-4206 · (215) 662-6305
Sole ProprietorNo
Enumeration DateApril 22, 2009
Last NPPES UpdateJuly 17, 20234 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1013151018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in MA · 1016080 Licensed in PA · MT194587 Licensed in NJ · 25MA09260000
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

3400 SPRUCE ST, Philadelphia, PA 19104

Other Identifiers 1

Medicaid0366455NJ

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 (PECOS)

Simant Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
434 services413 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
124 services119 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services47 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
30 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

87.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality84.17
Improvement Activities40
Cost65.22

Reported Quality Measures

Ultrasound Determination of Pregnancy Location for Pregnant Patients with Abdominal Pain
100%24 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Anesthesiology
3400 SPRUCE ST, 6 DULLES
PHILADELPHIA, PA 19104
Anesthesiology (Pain Medicine)
3400 SPRUCE ST, HUP-DULLES 6, ANESTHESIOLOGY DEPT
PHILADELPHIA, PA 19104
Genetic Counselor, MS
3400 SPRUCE ST, 535 MALONEY BLDG
PHILADELPHIA, PA 19104
Nurse Practitioner (Adult Health)
3400 SPRUCE ST, GOUND FLOOR SILVERSTEIN
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 SPRUCE ST
PHILADELPHIA, PA 19104
Psychiatry & Neurology (Psychiatry)
3400 SPRUCE ST, 2016 PENN TOWER
PHILADELPHIA, PA 19104
Internal Medicine (Infectious Disease)
3400 SPRUCE ST, 3 SILVERSTEIN
PHILADELPHIA, PA 19104
Radiology (Radiation Oncology)
3400 SPRUCE ST, 2 DONNER BUILDING
PHILADELPHIA, PA 19104

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 Simant Shah's NPI number?

The NPI number for Simant Shah is 1013151018. It was assigned to this individual provider in the NPPES registry on April 22, 2009.

Where is Simant Shah located?

Simant Shah practices at 3400 Spruce St One Maloney, Philadelphia, PA 19104. The listed phone number is (215) 662-6305.

What is Simant Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Simant Shah enrolled in Medicare?

Yes. Simant Shah is registered in the Medicare PECOS enrollment system.

What insurance does Simant Shah accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Oklahoma list Simant 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 Simant Shah was last updated on July 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.