DR. MILAN SHAH M.D.
NPI 1104901644
Ophthalmology - Retina Specialist in Carmel, IN

Q: What is Milan Shah's NPI number?

The NPI number for Milan Shah is 1104901644. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Q: What is Milan Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Milan Shah was last updated on July 15, 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.

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

11220 ILLINOIS ST STE 120, CARMEL, IN 46032(917) 743-6959(317) 805-4579 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Milan Shah M.d. NPPES

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

DR. MILAN SHAH M.D. (NPI 1104901644) is an individual retina specialist in Carmel, Indiana, licensed in Indiana (01065433A) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104901644

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. MILAN SHAHCredential: M.D.

Location Address11220 ILLINOIS ST STE 120Carmel, IN 46032-9847

Mailing Address11220 Illinois St Ste 120Carmel, IN 46032-9847 · (917) 743-6959 · Fax (317) 805-4579

Phone(917) 743-6959

Fax(317) 805-4579

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateOctober 25, 2006

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1104901644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

License✔ Licensed in IN · 01065433A

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Also ListedOphthalmologyTaxonomy 207W00000X · License 01065433A (IN)

Also ListedOphthalmology · Uveitis and Ocular Inflammatory DiseaseTaxonomy 207WX0108X · License 01065433A (IN)

11220 ILLINOIS ST STE 120, Carmel, IN 46032

Open in Google Maps ↗

Other Identifiers 1

Medicaid200913050IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dr. Milan Shah M.d. 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 ID5698843399

PECOS Enrollment IDI20081008000392

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.

Medicare Billing Reassignment

Medicare enrollment records show Milan Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Midwest Eye Retina PC

Same address

Retina Specialist

11220 N ILLINOIS STREET, SUITE 120
Carmel, IN 46032

Reassigned Medicare billing, Indiana enrollment

NPI 1851686968 (317) 805-2200

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 13

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

6,600 services26 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,156 services606 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,585 services301 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,482 services140 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

795 services173 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.

566 services368 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.

275 services164 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

144 services128 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

65 services65 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

17 services14 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150056

Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46032 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

95%40 patients5/55-star benchmark: 87%

Diabetes: Eye Exam

100%558 patients5/55-star benchmark: 100%

Diabetic Macular Edema - Loss of Visual Acuity

99%158 patients

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

92%495 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

100%3,882 patients5/55-star benchmark: 100%

Glaucoma Intraocular Pressure Reduction

93%75 patients

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 100% · 1,092 patients

Patients screened: 100% · 1,092 patients

100%108 patients5/55-star benchmark: 100%

Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care

100%74 patients

Tobacco Use and Help with Quitting Among Adolescents

98%43 patients4/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,109 patients

Patients totalRate: 0% · 1,109 patients

0%1,109 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Milan Shah's NPI number?

The NPI number for Milan Shah is 1104901644. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Milan Shah located?

Milan Shah practices at 11220 Illinois St Ste 120, Carmel, IN 46032. The listed phone number is (917) 743-6959.

What is Milan Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Milan Shah enrolled in Medicare?

Yes. Milan 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 organization bills Medicare for Milan Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Milan Shah reassigns Medicare benefits to Midwest Eye Retina PC (Carmel, IN). The 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 Milan Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Milan Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Milan 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 Milan Shah affiliated with any hospitals?

According to CMS data, Milan Shah is affiliated with Indiana University Health.

When was this NPI record last updated?

The NPPES record for Milan Shah was last updated on July 15, 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.