DR. MIHIR MAHESHKUMAR SHAH M.D.
NPI 1063701746
Surgery - Surgical Oncology in Washington, DC

Active since April 01, 2011PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
110 IRVING ST NW, WASHINGTON, DC 20010(202) 877-4599(202) 877-0448 Get Directions Write a Review

NPPES record last updated: November 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 8, 2025, May 27, 2018 (2 updates tracked since 2018).

About Dr. Mihir Maheshkumar Shah M.d. NPPES

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

DR. MIHIR MAHESHKUMAR SHAH M.D. (NPI 1063701746) is an individual surgical oncology provider in Washington, District Of Columbia, licensed in District Of Columbia (MD600004527) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1063701746
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. MIHIR MAHESHKUMAR SHAHCredential: M.D.
Location Address110 IRVING ST NWWashington, DC 20010-3017
Mailing Address110 Irving St NwWashington, DC 20010-3017 · (202) 877-4599 · Fax (202) 877-0448
Fax(202) 877-0448
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateApril 1, 2011
Last NPPES UpdateNovember 8, 20252 updates tracked since enumeration
NPPES CertifiedNovember 8, 2025
✔ NPI 1063701746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses✔ Licensed in DC · MD600004527✔ Licensed in GA · 072670
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
Also ListedSurgeryTaxonomy 208600000X · License MT196539 (PA)
110 IRVING ST NW, Washington, DC 20010

Secondary Practice Locations 2

Location 1785 W Providence Rd, Apt# E-203Lansdowne, PA 19050-2445 · Phone (215) 200-6256
Location 25665 Peachtree Dunwoody Rd Ste G89Atlanta, GA 30342-1701 · Phone (215) 200-6256

Accepted Insurance

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

Dr. Mihir Maheshkumar 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 ID6608187026
PECOS Enrollment IDI20250918002376
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 Mihir Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
110 IRVING ST NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3,530 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group

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 3

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 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.
20 services17 patients
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.
20 services16 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20010 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
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Acute Care)
110 IRVING ST NW, 4B42
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Nurse Anesthetist, Certified Registered
110 IRVING ST NW
WASHINGTON, DC 20010
Anesthesiology
110 IRVING ST NW
WASHINGTON, DC 20010
Radiology (Diagnostic Radiology)
110 IRVING ST NW
WASHINGTON, DC 20010
Student in an Organized Health Care Education/Training Program
110 IRVING ST NW, DEPT. OF ORAL AND MAXILLOFACIAL SURGERY
WASHINGTON, DC 20010
Internal Medicine (Endocrinology, Diabetes & Metabolism)
110 IRVING ST NW
WASHINGTON, DC 20010

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 Mihir Shah's NPI number?

The NPI number for Mihir Shah is 1063701746. It was assigned to this individual provider in the NPPES registry on April 1, 2011.

Where is Mihir Shah located?

Mihir Shah practices at 110 Irving St NW, Washington, DC 20010. The listed phone number is (202) 877-4599.

What is Mihir Shah's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Mihir Shah enrolled in Medicare?

Yes. Mihir 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 Mihir Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mihir Shah reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Washington, DC), The Emory Clinic Inc (Atlanta, GA) and Emory Medical Care Foundation Inc (Atlanta, GA). 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 Mihir Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mihir Shah accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mihir 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.

When was this NPI record last updated?

The NPPES record for Mihir Shah was last updated on November 8, 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.