NIRAV D SHAH MD
NPI 1023083607
Internal Medicine - Cardiovascular Disease in Newburgh, NY

Q: What is Nirav Shah's NPI number?

The NPI number for Nirav Shah is 1023083607. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Q: What is Nirav Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Nirav Shah was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 February 17, 2006PECOS EnrolledAccepts Medicare Assignment

86.7/100

CMS Quality Rating

5 JEANNE DR STE 7, NEWBURGH, NY 12550(845) 465-4400 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 28, 2019, May 1, 2019 (2 updates tracked since 2019).

On this page

About Nirav D Shah Md NPPES

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

NIRAV D SHAH MD (NPI 1023083607) is an individual cardiovascular disease provider in Newburgh, New York, licensed in New York (2250351) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1023083607

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameNIRAV D SHAHCredential: MD

Location Address5 JEANNE DR STE 7Newburgh, NY 12550-1797

Mailing Address243 North Rd Ste 304Poughkeepsie, NY 12601-1173 · (845) 451-7251 · Fax (845) 471-7372

Phone(845) 465-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateFebruary 17, 2006

Last NPPES UpdateAugust 28, 20192 updates tracked since enumeration

✔ NPI 1023083607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 2250351

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

5 JEANNE DR STE 7, Newburgh, NY 12550

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Other Identifiers 1

Medicaid02735739NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nirav D 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 ID3870501901

PECOS Enrollment IDI20060330000375

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.

Medicare Billing Reassignment

Medicare enrollment records show Nirav Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Premier Medical Group Of The Hudson Valley P.C.

15 mi

Urology

50 EASTDALE AVE N
Poughkeepsie, NY 12603

Reassigned Medicare billing, New York enrollment
Medicare enrollment name: Premier Medical Group Of The Hudson Valley PC
169 clinicians in this Medicare group

NPI 1255437166 (845) 437-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 24

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

1,273 services477 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.

1,158 services447 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

522 services403 patients

Injection, regadenoson, 0.1 mg J2785

Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.

508 services127 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

349 services323 patients

Technetium tc-99m sestamibi, diagnostic, per study dose A9500

Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.

252 services126 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

249 services247 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

248 services246 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

183 services183 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.

181 services54 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

173 services165 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.

171 services76 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

127 services127 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

108 services107 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

79 services72 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.

71 services71 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

69 services69 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

61 services58 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

39 services39 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

34 services11 patients

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93241

This procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.

26 services26 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

18 services17 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

14 services14 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

12 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

Westchester Medical Center

Acute Care Hospitals · Valhalla, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330234

Location100 Woods RdValhalla, NY 10595 · Westchester County

Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330264

Location70 Dubois StreetNewburgh, NY 12550 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12550 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$76.88 typical visit price

range $19.92 – $151.94

Typical copayment $19.22 (range $4.98 – $37.98)

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.

86.7/100

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

Scored as part of a group practice

Quality

85.4

Promoting Interoperability

Improvement Activities

Cost

72.79

Other Providers at the Same Location NPPES 3

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

DANIELLE FRANZELLA FNP

Nurse Practitioner (Family)

5 JEANNE DR STE 7
NEWBURGH, NY 12550

Orange County (845) 565-4400

ZARA ZAEEM

Nurse Practitioner (Family)

5 JEANNE DR STE 7
NEWBURGH, NY 12550

Orange County (845) 565-4400

MRS. ASHLEY NICOLE STROPOLI FNP-BC

Nurse Practitioner (Family)

5 JEANNE DR STE 7
NEWBURGH, NY 12550

Orange County (845) 565-4400

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 Nirav Shah's NPI number?

The NPI number for Nirav Shah is 1023083607. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Nirav Shah located?

Nirav Shah practices at 5 Jeanne Dr Ste 7, Newburgh, NY 12550. The listed phone number is (845) 465-4400.

What is Nirav Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nirav Shah enrolled in Medicare?

Yes. Nirav 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.

Which organization bills Medicare for Nirav Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nirav Shah reassigns Medicare benefits to Premier Medical Group Of The Hudson Valley P.C. (Poughkeepsie, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nirav Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nirav Shah affiliated with any hospitals?

According to CMS data, Nirav Shah is affiliated with Garnet Health Medical Center, Westchester Medical Center and St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Shah was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.