SAMIR ASHOK SHAH M.D.
NPI 1043209398
Internal Medicine - Gastroenterology in Providence, RI

Q: What is Samir Shah's NPI number?

The NPI number for Samir Shah is 1043209398. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Q: What is Samir 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 Samir Shah was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 October 19, 2005PECOS EnrolledAccepts Medicare Assignment

72.37/100

CMS Quality Rating

44 W RIVER ST, PROVIDENCE, RI 02904(401) 274-4800(401) 454-0410 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Samir Ashok Shah M.d. NPPES

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

SAMIR ASHOK SHAH M.D. (NPI 1043209398) is an individual gastroenterology provider in Providence, Rhode Island, licensed in Rhode Island (09420) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Harvard Medical School (1992).

NPPES Registry Identity

NPI1043209398

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSAMIR ASHOK SHAHCredential: M.D.

Location Address44 W RIVER STProvidence, RI 02904-2609

Mailing AddressPo Box 202230Dallas, TX 75320-2230 · (401) 274-4800 · Fax (401) 454-0410

Phone(401) 274-4800

Fax(401) 454-0410

Sole ProprietorNo

Medical School CMSHarvard Medical SchoolGraduated 1992

Enumeration DateOctober 19, 2005

Last NPPES UpdateOctober 15, 2025

NPPES CertifiedOctober 15, 2025

✔ NPI 1043209398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in RI · 09420✔ Licensed in MA · 81704

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.

44 W RIVER 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

Samir Ashok 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 ID9133131360

PECOS Enrollment IDI20101110001259, I20250801001463

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 13

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

225 services63 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.

111 services111 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.

92 services80 patients

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500

Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.

88 services87 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.

76 services69 patients

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.

61 services61 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.

49 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

41 services41 patients

Administration of chemotherapy into vein, 1 hour or less 96413

Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.

35 services17 patients

Infusion, normal saline solution, 250 cc J7050

An infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.

35 services20 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 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.

15 services13 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI

3/5 CMS rating

OwnershipTribal

CMS Certification Number410007

Location593 Eddy StreetProvidence, RI 02903 · Providence County

Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

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

$134.17 typical visit price

range $58.57 – $177.03

Typical copayment $33.54 (range $14.64 – $44.25)

Most-billed visit code 99204

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

72.37/100

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

Individually scored

Quality

86.72

Improvement Activities

Cost

25.61

Reported Quality Measures

Age Appropriate Screening Colonoscopy

Lower rates are better for this measure.

0%285 patients

Appropriate follow-up interval based on pathology findings in screening colonoscopy

98%65 patients

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients

98%55 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

NEIL ROBERT GREENSPAN M.D.

Internal Medicine (Gastroenterology)

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

ISABELLA MARIA OLDENBURG PA

Physician Assistant

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

DANIEL PIASCIK

Physician Assistant (Medical)

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

MS. JENNIFER RACHAEL FALLON FNP-BC

Nurse Practitioner (Family)

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

ALYN LOUISE ADRAIN M.D.

Internal Medicine (Gastroenterology)

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

ENDOSCOPY ASSOCIATES, LLC

Clinic/Center (Endoscopy)

44 W RIVER ST, FIRST FLOOR
PROVIDENCE, RI 02904

Providence County (401) 274-4800

TIAN GAO M.D.

Internal Medicine (Gastroenterology)

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

RACHEL FURMAN M.D.

Anesthesiology

44 W RIVER ST
PROVIDENCE, RI 02904

Providence County (401) 274-4800

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 Samir Shah's NPI number?

The NPI number for Samir Shah is 1043209398. It was assigned to this individual provider in the NPPES registry on October 19, 2005.

Where is Samir Shah located?

Samir Shah practices at 44 W River St, Providence, RI 02904. The listed phone number is (401) 274-4800.

What is Samir Shah's specialty?

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

Is Samir Shah enrolled in Medicare?

Yes. Samir 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 Samir Shah affiliated with any hospitals?

According to CMS data, Samir Shah is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Samir Shah was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.