DR. MITUL B SHAH M.D.
NPI 1083645436
Obstetrics & Gynecology in Saint Louis, MO

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.57/100
CMS Quality Rating
1031 BELLEVUE AVE, SUITE 400, SAINT LOUIS, MO 63117(314) 977-7455(314) 977-7477 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Mitul B Shah M.d. NPPES

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

DR. MITUL B SHAH M.D. (NPI 1083645436) is an individual obstetrics & gynecology provider in Saint Louis, Missouri, licensed in Missouri (111027) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ssm St Joseph Health Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1996).

NPPES Registry Identity

NPI1083645436
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MITUL B SHAHCredential: M.D.
Location Address1031 BELLEVUE AVE, SUITE 400Saint Louis, MO 63117-1818
Mailing Address6420 Clayton Rd, Suite 290Saint Louis, MO 63117-1811 · (314) 781-1505 · Fax (314) 781-2840
Fax(314) 977-7477
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1996
Enumeration DateJuly 5, 2006
Last NPPES UpdateDecember 30, 2009
NPI 1083645436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MO · 111027
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1031 BELLEVUE AVE, Saint Louis, MO 63117

Other Identifiers 2

Medicare UPINH23950MO
Medicaid20509400MO

Accepted Insurance

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. Mitul B 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 ID3870506314
PECOS Enrollment IDI20060728000221
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 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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services31 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.
24 services15 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ssm St Joseph Health Center

Acute Care Hospitals · Saint Charles, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260005
Location300 1st Capitol DrSaint Charles, MO 63301 · St. Charles County
Emergency services

Ssm Health St Mary's Hospital - St Louis

Acute Care Hospitals · Richmond Heights, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260091
Location6420 Clayton RdRichmond Heights, MO 63117 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63117 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

81.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.09
Promoting Interoperability100
Improvement Activities40
Cost54.28

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.

Surgery (Vascular Surgery)
1031 BELLEVUE AVE, SUITE 349
SAINT LOUIS, MO 63117
Physician Assistant
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Nurse Practitioner
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1031 BELLEVUE AVE
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE
SAINT LOUIS, MO 63117
Obstetrics & Gynecology
1031 BELLEVUE AVE, SUITE 400
SAINT LOUIS, MO 63117
Neurological Surgery
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117
Clinic/Center
1031 BELLEVUE AVE, SUITE 300
SAINT LOUIS, MO 63117

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 Mitul Shah's NPI number?

The NPI number for Mitul Shah is 1083645436. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Mitul Shah located?

Mitul Shah practices at 1031 Bellevue Ave Suite 400, Saint Louis, MO 63117. The listed phone number is (314) 977-7455.

What is Mitul Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mitul Shah enrolled in Medicare?

Yes. Mitul 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.

What insurance does Mitul Shah accept?

Health plans from Anthem Blue Cross and Blue Shield and Oscar Insurance Company list Mitul 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 Mitul Shah affiliated with any hospitals?

According to CMS data, Mitul Shah is affiliated with Ssm St Joseph Health Center and Ssm Health St Mary's Hospital - St Louis.

When was this NPI record last updated?

The NPPES record for Mitul Shah was last updated on December 30, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.