DR. HIRENKUMAR N SHAH MD
NPI 1093742801
Internal Medicine in Frederick, MD

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
65 THOMAS JOHNSON DR, SUITE C, FREDERICK, MD 21702(301) 663-3836(301) 663-0122 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Hirenkumar N Shah Md NPPES

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

DR. HIRENKUMAR N SHAH MD (NPI 1093742801) is an individual internal medicine provider in Frederick, Maryland, licensed in Maryland (D51643) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1093742801
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HIRENKUMAR N SHAHCredential: MD
Location Address65 THOMAS JOHNSON DR, SUITE CFrederick, MD 21702-4371
Mailing Address65 Thomas Johnson Dr, Suite CFrederick, MD 21702-4371 · (301) 663-3836 · Fax (301) 663-0122
Fax(301) 663-0122
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 27, 2006
Last NPPES UpdateNovember 15, 2010
NPI 1093742801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D51643
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.

65 THOMAS JOHNSON DR, Frederick, MD 21702

Other Identifiers 4

OtherK935397WMD · Medicare Id
Medicare UPING76034MD
Medicare PINK935MD
Medicare PIN110201550MD

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. Hirenkumar N 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 ID4082617691
PECOS Enrollment IDI20060822000309
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 78

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
1,198 services616 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
901 services13 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
869 services456 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
707 services390 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
593 services365 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
551 services551 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 17

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
32 suppliers145 claims316 services$5.91 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers15 claims16 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
21 suppliers60 claims87 services$1.04 avg. paid by Medicare
Male external catheter, with or without adhesive, disposable, each A4349
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims455 services$1.80 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers28 claims52 services$8.77 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier17 claims220 services$4.69 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.

Dentist (General Practice)
65 THOMAS JOHNSON DR, SUITE B
FREDERICK, MD 21702
Psychologist (Clinical)
65 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Internal Medicine
65 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702
Physical Therapist
65 THOMAS JOHNSON DR, SUITE D
FREDERICK, MD 21702
Occupational Therapist (Hand)
65 THOMAS JOHNSON DR, SUITE D
FREDERICK, MD 21702
Internal Medicine (Endocrinology, Diabetes & Metabolism)
65 THOMAS JOHNSON DR, SUITE C
FREDERICK, MD 21702
Psychologist
65 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702
Psychologist
65 THOMAS JOHNSON DR, SUITE A
FREDERICK, MD 21702

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093742801, enumerated as an "individual" on June 27, 2006.

The provider is located at 65 THOMAS JOHNSON DR SUITE C FREDERICK, MD 21702 and the phone number is (301) 663-3836.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Hirenkumar Shah is affiliated with: FREDERICK HEALTH HOSPITAL.