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DR. NISHIT SHAH
NPI 1023052537
Colon & Rectal Surgery in Providence, RI

Active since June 15, 2006PECOS EnrolledAccepts Medicare Assignment
76.26/100
CMS Quality Rating
208 COLLYER ST, SUITE 302, PROVIDENCE, RI 02904(401) 553-8322(401) 868-2315 Get Directions Write a Review

NPPES record last updated: January 29, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nishit Shah NPPES

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

DR. NISHIT SHAH (NPI 1023052537) is an individual colon & rectal surgery provider in Providence, Rhode Island, licensed in Rhode Island (MD12780) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Jacobi Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1023052537
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. NISHIT SHAH
Location Address208 COLLYER ST, SUITE 302Providence, RI 02904-1560
Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069
Phone(401) 553-8322
Fax(401) 868-2315
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJune 15, 2006
Last NPPES UpdateJanuary 29, 2020
✔ NPI 1023052537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in RI · MD12780✔ Licensed in VA · 010123650
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

208 COLLYER ST, Providence, RI 02904
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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

Dr. Nishit Shah 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 ID7618958992
PECOS Enrollment IDI20210622002299
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 6

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services34 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.
31 services26 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
29 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
26 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
23 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Jacobi Medical Center

Acute Care Hospitals · Bronx, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330127
Location1400 Pelham Parkway SouthBronx, NY 10461 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
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.

76.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.74
Improvement Activities40
Cost59.29

Other Providers at the Same Location NPPES 18

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

MR. MARK JAMES NASH PA
Physician Assistant (Medical)
208 COLLYER ST
PROVIDENCE, RI 02904
Providence County (401) 793-2354
DR. ADAM AUGUSTUS KLIPFEL M.D.
Colon & Rectal Surgery
208 COLLYER ST, SUITE
PROVIDENCE, RI 02904
Providence County (401) 725-4888
DAWN MARIE JENISON PA-C
Physician Assistant (Surgical)
208 COLLYER ST, THORACIC AND CARDIOVASCULAR SURGICAL CENTER
PROVIDENCE, RI 02904
Providence County (401) 350-3894
MRS. JACQUELINE FASULO PIERCE PT
Physical Therapist (Cardiopulmonary)
208 COLLYER ST, PULMONARY REHAB
PROVIDENCE, RI 02904
Providence County (401) 793-4080
JONATHAN ELION MD
Internal Medicine (Cardiovascular Disease)
208 COLLYER ST, STE 100
PROVIDENCE, RI 02904
Providence County (401) 793-7191
KENNETH S KORR MD
Internal Medicine (Cardiovascular Disease)
208 COLLYER ST, STE 100
PROVIDENCE, RI 02904
Providence County (401) 793-7191
MEGAN E SILVEIRA NP
Nurse Practitioner
208 COLLYER ST
PROVIDENCE, RI 02904
Providence County (401) 444-5525
DR. LESLIE AILEEN ROTH M.D.
Colon & Rectal Surgery
208 COLLYER ST, SUITE 302
PROVIDENCE, RI 02904
Providence County (401) 553-8312

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 Nishit Shah's NPI number?

The NPI number for Nishit Shah is 1023052537. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Nishit Shah located?

Nishit Shah practices at 208 Collyer St Suite 302, Providence, RI 02904. The listed phone number is (401) 553-8322.

What is Nishit Shah's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Nishit Shah enrolled in Medicare?

Yes. Nishit 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 Nishit Shah affiliated with any hospitals?

According to CMS data, Nishit Shah is affiliated with Jacobi Medical Center.

When was this NPI record last updated?

The NPPES record for Nishit Shah was last updated on January 29, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.