1. Home
  2. Directory
  3. Wisconsin
  4. Menomonee Falls
  5. Internal Medicine
  6. NPI Profile

MANAN SHIRISHKUMAR SHAH MD
NPI 1083920698
Internal Medicine in Menomonee Falls, WI

Active since August 20, 2010PECOS Enrolled
W180N8085 TOWN HALL RD, MENOMONEE FALLS, WI 53051(262) 251-1000(262) 257-2707 Get Directions Write a Review

NPPES record last updated: February 6, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Manan Shirishkumar Shah Md NPPES

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

MANAN SHIRISHKUMAR SHAH MD (NPI 1083920698) is an individual internal medicine provider in Menomonee Falls, Wisconsin, licensed in Texas (BP10036944) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS, is affiliated with Tanner Medical Center - Carrollton, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1083920698
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMANAN SHIRISHKUMAR SHAHCredential: MD
Location AddressW180N8085 TOWN HALL RDMenomonee Falls, WI 53051-3518
Mailing AddressW180n8085 Town Hall RdMenomonee Falls, WI 53051-3518 · (262) 251-1000 · Fax (262) 257-2707
Phone(262) 251-1000
Fax(262) 257-2707
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateAugust 20, 2010
Last NPPES UpdateFebruary 6, 2020
✔ NPI 1083920698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · BP10036944
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.

W180N8085 TOWN HALL RD, Menomonee Falls, WI 53051
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Manan Shirishkumar Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486896842
PECOS Enrollment IDI20221003001322
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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
446 services178 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.
112 services108 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.
34 services33 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
30 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Tanner Medical Center - Carrollton

Acute Care Hospitals · Carrollton, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110011
Location705 Dixie StreetCarrollton, GA 30117 · Carroll County
Birthing friendly

Tanner Medical Center Villa Rica

Acute Care Hospitals · Villa Rica, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110015
Location601 Dallas HighwayVilla Rica, GA 30180 · Carroll County
Emergency services Birthing friendly

Higgins General Hospital

Critical Access Hospitals · Bremen, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111320
Location200 Allen Memorial DriveBremen, GA 30110 · Haralson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53051 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers32 claims32 services$18.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers44 claims44 services$77.75 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$33.75 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.

FORWARD ORTHOPEDICS, S.C.
Orthopaedic Surgery
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-5860
KAREN JEAN KUCHAR RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
MR. ERIC J BACHAR R.PH.
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
MS. TERRY LEE AUDLEY RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3077
MRS. AMY L GORGEN RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
ANDREW C. TANG PHARM. D.
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
DR. JAMES LOUIS LA TOURETTE PHARM.D., R.PH.
Pharmacist
W180N8085 TOWN HALL RD, PHARMACY DEPARTMENT
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070
ANN M BACHAR RPH
Pharmacist
W180N8085 TOWN HALL RD
MENOMONEE FALLS, WI 53051
Waukesha County (262) 257-3070

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 Manan Shah's NPI number?

The NPI number for Manan Shah is 1083920698. It was assigned to this individual provider in the NPPES registry on August 20, 2010.

Where is Manan Shah located?

Manan Shah practices at W180n8085 Town Hall Rd, Menomonee Falls, WI 53051. The listed phone number is (262) 251-1000.

What is Manan Shah's specialty?

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

Is Manan Shah enrolled in Medicare?

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

What insurance does Manan Shah accept?

Health plans from Oscar Insurance Company list Manan 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 Manan Shah affiliated with any hospitals?

According to CMS data, Manan Shah is affiliated with Tanner Medical Center - Carrollton, Tanner Medical Center Villa Rica and Higgins General Hospital.

When was this NPI record last updated?

The NPPES record for Manan Shah was last updated on February 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.