PRIYAL SHAH MD
NPI 1104387075
Ophthalmology in Hickory, NC
About Priyal Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIYAL SHAH MD (NPI 1104387075) is an individual ophthalmology provider in Hickory, North Carolina, licensed in California (A200796) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Rutgers New Jersey Medical School (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 8
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
Priyal 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 Priyal Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomfield, NJ 07003
- Reassigned Medicare billing, New Jersey enrollment
- 137 clinicians in this Medicare group
Las Vegas, NV 89106
- Reassigned Medicare billing, California enrollment
- 2,584 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.
Areas of Expertise CMS Part B claims 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28602 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
HICKORY, NC 28602
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 Priyal Shah's NPI number?
The NPI number for Priyal Shah is 1104387075. It was assigned to this individual provider in the NPPES registry on March 25, 2019.
Where is Priyal Shah located?
Priyal Shah practices at 2424 Century Pl SE, Hickory, NC 28602. The listed phone number is (828) 322-2050.
What is Priyal Shah's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Priyal Shah enrolled in Medicare?
Yes. Priyal 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 Priyal Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Priyal Shah reassigns Medicare benefits to 2 organizations: Eye Centers Of America, LLC (Bloomfield, NJ) and Faculty Physicians And Surgeons Of Llusm (Las Vegas, NV). 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 Priyal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Priyal Shah accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Priyal 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.
When was this NPI record last updated?
The NPPES record for Priyal Shah was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.
# Priyal Shah, MD · NPI 1104387075
Ophthalmology physician in Hickory, North Carolina. Individual provider, active in the CMS NPPES registry since March 25, 2019.
## Identity
- **NPI:** 1104387075 (Entity type: Individual)
- **Enumerated:** March 25, 2019
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A200796 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2424 CENTURY PL SE, Hickory, NC 28602-4031
- **Phone:** (828) 322-2050 · **Fax:** (828) 345-0522
## 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): Eye Centers Of America, LLC (NPI 1649563636, Bloomfield, NJ); Faculty Physicians And Surgeons Of Llusm (NPI 1124560214, Las Vegas, NV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2019
## Record status
- **NPPES last updated:** September 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104387075) · Data from the CMS NPPES public registry.