PRASHEEN PIYUSH SHAH MD
NPI 1093247611
Internal Medicine - Nephrology in Portland, ME

Q: What is Prasheen Shah's NPI number?

The NPI number for Prasheen Shah is 1093247611. It was assigned to this individual provider in the NPPES registry on April 2, 2017.

Q: What is Prasheen Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Prasheen Shah was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 02, 2017PECOS EnrolledAccepts Medicare Assignment

1600 CONGRESS ST STE B, PORTLAND, ME 04102(207) 774-5222(207) 761-4433 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2025, Jul 7, 2020, May 14, 2020 and 1 more (4 updates tracked since 2017).

On this page

About Prasheen Piyush Shah Md NPPES

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

PRASHEEN PIYUSH SHAH MD (NPI 1093247611) is an individual nephrology provider in Portland, Maine, licensed in Maine (MD29393) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1093247611

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NamePRASHEEN PIYUSH SHAHCredential: MD

Location Address1600 CONGRESS ST STE BPortland, ME 04102-2148

Mailing Address1600 Congress St Ste BPortland, ME 04102-2148 · (207) 774-5222 · Fax (207) 761-4433

Phone(207) 774-5222

Fax(207) 761-4433

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 2, 2017

Last NPPES UpdateJuly 2, 20254 updates tracked since enumeration

NPPES CertifiedJuly 2, 2025

✔ NPI 1093247611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in ME · MD29393

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License MD29393 (ME)

Also ListedHospitalistTaxonomy 208M00000X · License 2020-03225 (NC)

1600 CONGRESS ST STE B, Portland, ME 04102

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11202 Medical Center DrWilmington, NC 28401-7307 · Phone (910) 341-3300 · Fax (910) 251-2067

Location 243 Baxter BlvdPortland, ME 04101-1823 · Phone (207) 662-7180 · Fax (207) 662-7190

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Prasheen Piyush 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 ID244517803

PECOS Enrollment IDI20250822001219

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.

Hospital Affiliations CMS Care Compare

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

Maine Medical Center

Acute Care Hospitals · Portland, ME

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number200009

Location22 Bramhall StPortland, ME 04102 · Cumberland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04102 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

$128.83 typical visit price

range $56.28 – $169.96

Typical copayment $32.20 (range $14.07 – $42.49)

Most-billed visit code 99204

Established Patient

$99.18 typical visit price

range $18.22 – $138.92

Typical copayment $24.79 (range $4.55 – $34.73)

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

3 suppliers11 claims11 services$17.82 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

4 suppliers24 claims24 services$85.44 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$31.47 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 13

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

HASSAN MAHMOUD M.D.

Internal Medicine (Nephrology)