DR. PALI DEDHIYA SHAH M.D.
NPI 1073659561
Internal Medicine - Pulmonary Disease in Baltimore, MD

Active since January 30, 2007PECOS Enrolled
74.39/100
CMS Quality Rating
601 N CAROLINE ST, BALTIMORE, MD 21287(410) 614-4898 Get Directions Write a Review

NPPES record last updated: February 18, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Pali Dedhiya Shah M.d. NPPES

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

DR. PALI DEDHIYA SHAH M.D. (NPI 1073659561) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (45056) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2001).

NPPES Registry Identity

NPI1073659561
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PALI DEDHIYA SHAHCredential: M.D.
Location Address601 N CAROLINE STBaltimore, MD 21287-0006
Mailing AddressPo Box 64264Baltimore, MD 21264-4264 · (410) 614-4898
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2001
Enumeration DateJanuary 30, 2007
Last NPPES UpdateFebruary 18, 2013
NPI 1073659561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in MD · 45056 Licensed in TN · 45057
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 45057 (TN), 45056 (MD)
601 N CAROLINE ST, Baltimore, MD 21287

Other Names 1

Former Name (1)Pali M Dedhiya

Other Identifiers 2

Medicaid049034200MD
Medicare PIN229825YVBMD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pali Dedhiya Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840289674
PECOS Enrollment IDI20111115000050
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 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.
552 services127 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.
212 services96 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.
37 services34 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 services29 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.
24 services17 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21287 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
3 suppliers11 claims9,390 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers19 claims2,610 services$0.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 (Pulmonary Disease)
601 N CAROLINE ST
BALTIMORE, MD 21287
Radiology (Diagnostic Radiology)
601 N CAROLINE ST
BALTIMORE, MD 21287
Speech-Language Pathologist
601 N CAROLINE ST
BALTIMORE, MD 21287
Dermatology
601 N CAROLINE ST
BALTIMORE, MD 21287
Nurse Practitioner (Adult Health)
601 N CAROLINE ST
BALTIMORE, MD 21287
Physician Assistant (Surgical)
601 N CAROLINE ST, #5263
BALTIMORE, MD 21287
Physician Assistant (Medical)
601 N CAROLINE ST
BALTIMORE, MD 21287
Orthopaedic Surgery (Hand Surgery)
601 N CAROLINE ST, RM 5210
BALTIMORE, MD 21287

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 Pali Shah's NPI number?

The NPI number for Pali Shah is 1073659561. It was assigned to this individual provider in the NPPES registry on January 30, 2007. The provider is also known as Pali M Dedhiya.

Where is Pali Shah located?

Pali Shah practices at 601 N Caroline St, Baltimore, MD 21287. The listed phone number is (410) 614-4898.

What is Pali Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pali Shah enrolled in Medicare?

Yes. Pali Shah is registered in the Medicare PECOS enrollment system.

Is Pali Shah affiliated with any hospitals?

According to CMS data, Pali Shah is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.

When was this NPI record last updated?

The NPPES record for Pali Shah was last updated on February 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.