DR. ANKUR SHAH M.D.
NPI 1043653116
Internal Medicine - Nephrology in Riverside, RI

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
375 WAMPANOAG TRL, RIVERSIDE, RI 02915(401) 649-4060(401) 649-4061 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 18, 2025, Dec 10, 2020, Jul 31, 2020 and 2 more (5 updates tracked since 2018).

About Dr. Ankur Shah M.d. NPPES

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

DR. ANKUR SHAH M.D. (NPI 1043653116) is an individual nephrology provider in Riverside, Rhode Island, licensed in Rhode Island (MD16227) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Providence.

NPPES Registry Identity

NPI1043653116
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. ANKUR SHAHCredential: M.D.
Location Address375 WAMPANOAG TRLRiverside, RI 02915-2232
Mailing AddressDept 3010, Po Box 986524Boston, MA 02298-6524 · (401) 443-4992 · Fax (401) 784-4913
Fax(401) 649-4061
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2013
Enumeration DateApril 9, 2013
Last NPPES UpdateNovember 18, 20255 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1043653116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in RI · MD16227
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

375 WAMPANOAG TRL, Riverside, RI 02915

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 649-4060

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

Dr. Ankur 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 ID5991091548
PECOS Enrollment IDI20180803000285
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 6

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.

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.
127 services66 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
68 services24 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.
53 services24 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.
32 services23 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.
20 services20 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.
18 services18 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 02915 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.

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.

Internal Medicine
375 WAMPANOAG TRL, SUITE 201
RIVERSIDE, RI 02915
Internal Medicine (Geriatric Medicine)
375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915
Internal Medicine (Gastroenterology)
375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915
Internal Medicine (Geriatric Medicine)
375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915
Internal Medicine (Gastroenterology)
375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915
Family Medicine (Geriatric Medicine)
375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915
Internal Medicine (Gastroenterology)
375 WAMPANOAG TRL, SUITE 202A
RIVERSIDE, RI 02915
Internal Medicine (Geriatric Medicine)
375 WAMPANOAG TRL, SUITE 102
RIVERSIDE, RI 02915

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 Ankur Shah's NPI number?

The NPI number for Ankur Shah is 1043653116. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Ankur Shah located?

Ankur Shah practices at 375 Wampanoag Trl, Riverside, RI 02915. The listed phone number is (401) 649-4060.

What is Ankur Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ankur Shah enrolled in Medicare?

Yes. Ankur 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 Ankur Shah affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Ankur Shah was last updated on November 18, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.