PRASHEEN PIYUSH SHAH MD
NPI 1093247611
Internal Medicine - Nephrology in Portland, ME
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
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Prasheen Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
South Portland, ME 04106
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Scottsdale, AZ 85254
- Reassigned Medicare billing, North Carolina enrollment
- 278 clinicians in this Medicare group
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.
Maine Medical Center
Acute Care Hospitals · Portland, MEStephens Memorial Hospital
Critical Access Hospitals · Norway, MEPhysician 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.
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.
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.
PORTLAND, ME 04102
PORTLAND, ME 04102
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 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.
Where is Prasheen Shah located?
Prasheen Shah practices at 1600 Congress St Ste B, Portland, ME 04102. The listed phone number is (207) 774-5222.
What is Prasheen Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Prasheen Shah enrolled in Medicare?
Yes. Prasheen 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 organizations bill Medicare for Prasheen Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Prasheen Shah reassigns Medicare benefits to 2 organizations: Mainehealth (South Portland, ME) and Apogee Medical Group North Carolina (Scottsdale, AZ). Each 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 Prasheen Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Prasheen Shah accept?
Health plans from Anthem Blue Cross and Blue Shield, Cigna Healthcare, Harvard Pilgrim Health Care, Select Health and Taro Health list Prasheen 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 Prasheen Shah affiliated with any hospitals?
According to CMS data, Prasheen Shah is affiliated with Maine Medical Center and Stephens Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Prasheen Shah was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Prasheen Piyush Shah, MD · NPI 1093247611
Nephrology physician in Portland, Maine. Individual provider, active in the CMS NPPES registry since April 2, 2017.
## Identity
- **NPI:** 1093247611 (Entity type: Individual)
- **Enumerated:** April 2, 2017
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** MD29393 (Maine)
- **Sole proprietor:** No
## Practice location
- **Address:** 1600 CONGRESS ST STE B, Portland, ME 04102-2148
- **Phone:** (207) 774-5222 · **Fax:** (207) 761-4433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mainehealth (NPI 1679887400, South Portland, ME); Apogee Medical Group North Carolina (NPI 1043518228, Scottsdale, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** July 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093247611) · Data from the CMS NPPES public registry.