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MUSHTAQ SHAH M.D.
NPI 1043396633
Internal Medicine - Gastroenterology in Greenbelt, MD

Active since October 27, 2006PECOS EnrolledAccepts Medicare Assignment
88.74/100
CMS Quality Rating
7227 HANOVER PKWY STE A, GREENBELT, MD 20770(301) 220-0606(301) 513-9049 Get Directions Write a Review

NPPES record last updated: January 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mushtaq Shah M.d. NPPES

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

MUSHTAQ SHAH M.D. (NPI 1043396633) is an individual gastroenterology provider in Greenbelt, Maryland, licensed in Maryland (D0021843) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1043396633
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMUSHTAQ SHAHCredential: M.D.
Location Address7227 HANOVER PKWY STE AGreenbelt, MD 20770-2025
Mailing Address7227 Hanover Pkwy Ste AGreenbelt, MD 20770-2025 · (301) 220-0606 · Fax (301) 513-9049
Phone(301) 220-0606
Fax(301) 513-9049
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateOctober 27, 2006
Last NPPES UpdateJanuary 23, 2014
✔ NPI 1043396633 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 MD · D0021843
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.
7227 HANOVER PKWY STE A, Greenbelt, MD 20770
Open in Google Maps ↗

Other Identifiers 3

Medicaid794011400MD
Medicare UPINC88824MD
Medicare ID-Type Unspecified414999MD

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

Mushtaq 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 ID446154165
PECOS Enrollment IDI20040712000466
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 Reassignments

3

Medicare enrollment records show Mushtaq Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mushtaq A Shah MD PA
Same address
Gastroenterology
7227 HANOVER PKWY, STE A
Greenbelt, MD 20770
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2 clinicians in this Medicare group
NPI 1023369980 (301) 220-0606
Affiliated Specialists, LLC
2.3 mi
Gastroenterology
9821 GREENBELT RD, SUITE 104
Lanham, MD 20706
  • Reassigned Medicare billing, District of Columbia enrollment
  • 7 clinicians in this Medicare group
NPI 1376091355 (301) 823-8086
Ghanshyam Gupta, M.D. PC
19 mi
Gastroenterology
10110 MOLECULAR DR, SUITE 111
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia enrollment
  • 9 clinicians in this Medicare group
NPI 1811009236 (301) 838-4224

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 9

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 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.
131 services98 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.
65 services65 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.
58 services53 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.
56 services56 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.
39 services39 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.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20770 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

88.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.22
Improvement Activities40
Cost98.16

Reported Quality Measures

Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%348 patients
Appropriate follow-up interval based on pathology findings in screening colonoscopy
100%68 patients
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
98%169 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.

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 Mushtaq Shah's NPI number?

The NPI number for Mushtaq Shah is 1043396633. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Mushtaq Shah located?

Mushtaq Shah practices at 7227 Hanover Pkwy Ste A, Greenbelt, MD 20770. The listed phone number is (301) 220-0606.

What is Mushtaq Shah's specialty?

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

Is Mushtaq Shah enrolled in Medicare?

Yes. Mushtaq 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 organizations bill Medicare for Mushtaq Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mushtaq Shah reassigns Medicare benefits to 3 organizations: Mushtaq A Shah MD PA (Greenbelt, MD), Affiliated Specialists, LLC (Lanham, MD) and Ghanshyam Gupta, M.D. PC (Rockville, MD). Each 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 Mushtaq Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mushtaq Shah was last updated on January 23, 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.