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PRAHAR SHAH MD
NPI 1073132957
Anesthesiology - Pain Medicine in Raleigh, NC

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
4420 LAKE BOONE TRL STE 100, RALEIGH, NC 27607(984) 215-6950(984) 215-6951 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 18, 2025, Oct 7, 2025, Apr 10, 2020 (3 updates tracked since 2020).

About Prahar Shah Md NPPES

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

PRAHAR SHAH MD (NPI 1073132957) is an individual pain medicine provider in Raleigh, North Carolina, licensed in North Carolina (2025-03006) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Johnston Health, and is a graduate of Rutgers New Jersey Medical School (2020).

NPPES Registry Identity

NPI1073132957
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NamePRAHAR SHAHCredential: MD
Location Address4420 LAKE BOONE TRL STE 100Raleigh, NC 27607-7505
Mailing Address4420 Lake Boone Trl Ste 100Raleigh, NC 27607-7505
Phone(984) 215-6950
Fax(984) 215-6951
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2020
Enumeration DateApril 10, 2020
Last NPPES UpdateNovember 18, 20253 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1073132957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License✔ Licensed in NC · 2025-03006
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 2025-03006 (NC)
4420 LAKE BOONE TRL STE 100, Raleigh, NC 27607
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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

Prahar 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 ID3274022769
PECOS Enrollment IDI20251025000545
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 Reassignment

Medicare enrollment records show Prahar Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Carolina Mg, LLC
Same address
Hospitalist
4420 LAKE BOONE TRL
Raleigh, NC 27607
  • Reassigned Medicare billing, North Carolina enrollment
  • 701 clinicians in this Medicare group
NPI 1215741640 (919) 784-3100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Johnston Health

Acute Care Hospitals · Smithfield, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340090
Location509 Bright Leaf BlvdSmithfield, NC 27577 · Johnston County
Emergency services Birthing friendly

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

WAYNE CALVIN HU D.O.
Physical Medicine & Rehabilitation
4420 LAKE BOONE TRL STE 100
RALEIGH, NC 27607
Wake County (984) 215-6950
JAMES ALBERT BARKER P.A.
Physician Assistant
4420 LAKE BOONE TRL STE 100
RALEIGH, NC 27607
Wake County (919) 784-5650
REX HOSPITAL INC
Pain Medicine (Pain Medicine)
4420 LAKE BOONE TRL STE 100
RALEIGH, NC 27607
Wake County (984) 215-6950

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 Prahar Shah's NPI number?

The NPI number for Prahar Shah is 1073132957. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Prahar Shah located?

Prahar Shah practices at 4420 Lake Boone Trl Ste 100, Raleigh, NC 27607. The listed phone number is (984) 215-6950.

What is Prahar Shah's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Prahar Shah enrolled in Medicare?

Yes. Prahar 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 organization bills Medicare for Prahar Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prahar Shah reassigns Medicare benefits to North Carolina Mg, LLC (Raleigh, NC). The 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 Prahar Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prahar Shah accept?

Health plans from UnitedHealthcare list Prahar 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.

Is Prahar Shah affiliated with any hospitals?

According to CMS data, Prahar Shah is affiliated with Johnston Health and Rex Hospital.

When was this NPI record last updated?

The NPPES record for Prahar Shah was last updated on November 18, 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.