NIRAV R. SHAH MD, MPH
NPI 1023148731
Internal Medicine - Gastroenterology in Wyomissing, PA

Q: What is Nirav Shah's NPI number?

The NPI number for Nirav Shah is 1023148731. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Q: What is Nirav Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Nirav Shah was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 March 06, 2007PECOS EnrolledAccepts Medicare Assignment

1011 REED AVE, SUITE 300, WYOMISSING, PA 19610(610) 374-4401(610) 374-7140 Get Directions Write a Review

NPPES record last updated: February 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Nirav R. Shah Md, Mph NPPES

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

NIRAV R. SHAH MD, MPH (NPI 1023148731) is an individual gastroenterology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD442736) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1023148731

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNIRAV R. SHAHCredential: MD, MPH

Location Address1011 REED AVE, SUITE 300Wyomissing, PA 19610-2002

Mailing Address1011 Reed Ave, Suite 300Wyomissing, PA 19610-2002 · (610) 374-4401 · Fax (610) 374-7140

Phone(610) 374-4401

Fax(610) 374-7140

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 6, 2007

Last NPPES UpdateFebruary 19, 2014

✔ NPI 1023148731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in PA · MD442736

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1011 REED AVE, Wyomissing, PA 19610

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Other Identifiers 2

Medicare PIN219216ES4PA

Medicare UPINI69794PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 R. Shah Md, Mph 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 ID6002910353

PECOS Enrollment IDI20110629000535

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.

Regional Gastroenterology Associates Of Lancaster, Ltd.

28 mi

Gastroenterology

2112 HARRISBURG PIKE STE 202
Lancaster, PA 17601

Reassigned Medicare billing, Pennsylvania enrollment
343 clinicians in this Medicare group

NPI 1154422806 (717) 869-4600

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 14

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

138 services131 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.

84 services75 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

70 services70 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

50 services46 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.

48 services47 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.

36 services36 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.

35 services30 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

29 services29 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

29 services29 patients

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.

25 services18 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

18 services18 patients

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.

18 services18 patients

Ultrasound scan of organ tissue for measuring elasticity 76981

An ultrasound scan of organ tissue measures elasticity, or flexibility. This non-invasive procedure uses sound waves to create images of the inside of your body. It helps in assessing the health of various organs by detecting changes in their stiffness or softness.

15 services15 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Reading Hospital

Acute Care Hospitals · West Reading, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390044

Location420 S 5th AvenueWest Reading, PA 19611 · Berks County

Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390096

Location2500 Bernville RoadReading, PA 19605 · Berks County

Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390123

Location1600 East High StreetPottstown, PA 19464 · Montgomery County

Emergency services

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390127

Location140 Nutt RoadPhoenixville, PA 19460 · Chester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

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.

LOUIS LA LUNA M.D.

Internal Medicine (Gastroenterology)

1011 REED AVE, SUITE 300
WYOMISSING, PA 19610

Berks County (610) 374-4401

CAROLYN LANGLOIS

Behavior Technician

1011 REED AVE
WYOMISSING, PA 19610

Berks County (610) 939-9999

STEPHEN E CARLSON MD

Internal Medicine (Gastroenterology)

1011 REED AVE, SUITE 300
WYOMISSING, PA 19610

Berks County (610) 374-4401

DANIEL BLECKER M.D.

Internal Medicine (Gastroenterology)

1011 REED AVE, SUITE 300
WYOMISSING, PA 19610

Berks County (610) 374-4401

KEVIN C GORDON M.D.

Internal Medicine (Gastroenterology)

1011 REED AVE, SUITE 300
WYOMISSING, PA 19610

Berks County (610) 374-4401

SETH E ROSENZWEIG M.D.

Internal Medicine (Gastroenterology)

1011 REED AVE, SUITE 300
WYOMISSING, PA 19610

Berks County (610) 374-4401

CHRISTOPHER BAHY IBRAHIM M.D.

Internal Medicine (Gastroenterology)

1011 REED AVE, SUITE 300
WYOMISSING, PA 19610

Berks County (610) 374-4401

JODEE STRINE M.ED., BSL

Counselor (Mental Health)

1011 REED AVE, SUITE 900
WYOMISSING, PA 19610

Berks County (610) 939-9999

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 1023148731. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Nirav Shah located?

Nirav Shah practices at 1011 Reed Ave Suite 300, Wyomissing, PA 19610. The listed phone number is (610) 374-4401.

What is Nirav Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

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 Regional Gastroenterology Associates Of Lancaster, Ltd. (Lancaster, PA). 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.

What insurance does Nirav Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Nirav 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 Nirav Shah affiliated with any hospitals?

According to CMS data, Nirav Shah is affiliated with Reading Hospital, Penn State Health St. Joseph, Pottstown Hospital and Phoenixville Hospital.

When was this NPI record last updated?

The NPPES record for Nirav Shah was last updated on February 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.