DR. SAMIR KIRTIKUMAR SHAH MD
NPI 1053999409
Internal Medicine in New York, NY

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
630 W 168TH ST # 4, NEW YORK, NY 10032(212) 305-2500 Get Directions Write a Review

NPPES record last updated: August 25, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2025, Mar 29, 2021 (2 updates tracked since 2021).

About Dr. Samir Kirtikumar Shah Md NPPES

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

DR. SAMIR KIRTIKUMAR SHAH MD (NPI 1053999409) is an individual internal medicine provider in New York, New York, licensed in New York (337961) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1053999409
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SAMIR KIRTIKUMAR SHAHCredential: MD
Location Address630 W 168TH ST # 4New York, NY 10032-3725
Mailing Address622 W 168th StNew York, NY 10032-3720 · (212) 305-2500
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateAugust 25, 20252 updates tracked since enumeration
NPPES CertifiedAugust 25, 2025
NPI 1053999409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 337961
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.
630 W 168TH ST # 4, New York, NY 10032

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. Samir Kirtikumar 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 ID9234646852
PECOS Enrollment IDI20250729001933
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.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 6

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

Nurse Practitioner (Women's Health)
630 W 168TH ST # 4
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST # 4, VC 12TH FLOOR, SUITE 208
NEW YORK, NY 10032
Orthopaedic Surgery
630 W 168TH ST # 4
NEW YORK, NY 10032
Internal Medicine
630 W 168TH ST # 4
NEW YORK, NY 10032
Allergy & Immunology
630 W 168TH ST # 4
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
630 W 168TH ST # 4
NEW YORK, NY 10032

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 1053999409. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Samir Shah located?

Samir Shah practices at 630 W 168th St # 4, New York, NY 10032. The listed phone number is (212) 305-2500.

What is Samir Shah's specialty?

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

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 New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Samir Shah was last updated on August 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.