NIRMISH SHAH MD
NPI 1033113899
Internal Medicine in Durham, NC

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment
3643 N ROXBORO ST, DURHAM, NC 27704(919) 470-8490 Get Directions Write a Review

NPPES record last updated: November 25, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nirmish Shah Md NPPES

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

NIRMISH SHAH MD (NPI 1033113899) is an individual internal medicine provider in Durham, North Carolina, licensed in North Carolina (200500111) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1033113899
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIRMISH SHAHCredential: MD
Location Address3643 N ROXBORO STDurham, NC 27704-2702
Mailing Address1850 W Arlington BlvdGreenville, NC 27834-5704 · (252) 752-6101 · Fax (252) 752-6600
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 9, 2005
Last NPPES UpdateNovember 25, 2008
NPI 1033113899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 200500111
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

3643 N ROXBORO ST, Durham, NC 27704

Other Identifiers 4

Medicare UPINI24858NC
Medicare PIN2037035CNC
Medicare ID-Type Unspecified2037035NC
Medicaid5900076NC

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 and accepts Medicare assignment

Nirmish 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 ID3779535372
PECOS Enrollment IDI20050211000227
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.

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27704 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Pharmacist
3643 N ROXBORO ST
DURHAM, NC 27704
Hospitalist
3643 N ROXBORO ST
DURHAM, NC 27704
Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Advanced Practice Midwife
3643 N ROXBORO ST
DURHAM, NC 27704
Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704
Emergency Medicine
3643 N ROXBORO ST
DURHAM, NC 27704

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 Nirmish Shah's NPI number?

The NPI number for Nirmish Shah is 1033113899. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Nirmish Shah located?

Nirmish Shah practices at 3643 N Roxboro St, Durham, NC 27704. The listed phone number is (919) 470-8490.

What is Nirmish Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirmish Shah enrolled in Medicare?

Yes. Nirmish 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.

What insurance does Nirmish Shah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Nirmish 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 Nirmish Shah affiliated with any hospitals?

According to CMS data, Nirmish Shah is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Nirmish Shah was last updated on November 25, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.