RAHUL SHAH M.D.
NPI 1013303510
Hospitalist in New York, NY

Active since April 10, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
5141 BROADWAY, NEW YORK, NY 10034(212) 932-5218(212) 932-5458 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 2, 2018, Apr 20, 2018 (2 updates tracked since 2018).

About Rahul Shah M.d. NPPES

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

RAHUL SHAH M.D. (NPI 1013303510) is an individual hospitalist provider in New York, New York, licensed in New York (292746) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with St John's Riverside Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013303510
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAHUL SHAHCredential: M.D.
Location Address5141 BROADWAYNew York, NY 10034-1159
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (129) 325-2182 · Fax (212) 932-5258
Fax(212) 932-5458
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 10, 2015
Last NPPES UpdateMay 2, 20182 updates tracked since enumeration
NPI 1013303510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in NY · 292746
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 292746 (NY)
5141 BROADWAY, New York, NY 10034

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

Rahul 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 ID1557626116
PECOS Enrollment IDI20180531001641
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.

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.
185 services104 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.
56 services55 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
30 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
26 services25 patients

Hospital Affiliations CMS Care Compare

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

St John's Riverside Hospital

Acute Care Hospitals · Yonkers, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330208
Location976 North BroadwayYonkers, NY 10701 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.98
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$67.74 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.

Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Nurse Practitioner (Psychiatric/Mental Health)
5141 BROADWAY
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Neurological Surgery
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Medical)
5141 BROADWAY, ALLEN PAVILION
NEW YORK, NY 10034
Internal Medicine
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant (Surgical)
5141 BROADWAY
NEW YORK, NY 10034
Physician Assistant
5141 BROADWAY
NEW YORK, NY 10034

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 Rahul Shah's NPI number?

The NPI number for Rahul Shah is 1013303510. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Rahul Shah located?

Rahul Shah practices at 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-5218.

What is Rahul Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rahul Shah enrolled in Medicare?

Yes. Rahul 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.

Is Rahul Shah affiliated with any hospitals?

According to CMS data, Rahul Shah is affiliated with St John's Riverside Hospital.

When was this NPI record last updated?

The NPPES record for Rahul Shah was last updated on May 2, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.