RAJ SHAH MD
NPI 1114017894
Internal Medicine - Gastroenterology in Aurora, CO

Q: What is Raj Shah's NPI number?

The NPI number for Raj Shah is 1114017894. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Q: What is Raj Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Raj Shah was last updated on January 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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 13, 2006PECOS EnrolledAccepts Medicare Assignment

97.58/100

CMS Quality Rating

12605 E 16TH AVE, AURORA, CO 80045(720) 848-0000 Get Directions Write a Review

NPPES record last updated: January 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Raj Shah Md NPPES

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

RAJ SHAH MD (NPI 1114017894) is an individual gastroenterology provider in Aurora, Colorado, licensed in Colorado (39963) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Billings Clinic, and is a graduate of Northeastern Ohio University College Of Medicine (1994).

NPPES Registry Identity

NPI1114017894

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameRAJ SHAHCredential: MD

Location Address12605 E 16TH AVEAurora, CO 80045-2545

Mailing AddressPo Box 876Aurora, CO 80040-0876 · (303) 493-7000

Phone(720) 848-0000

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1994

Enumeration DateOctober 13, 2006

Last NPPES UpdateJanuary 3, 2011

✔ NPI 1114017894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in CO · 39963

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

12605 E 16TH AVE, Aurora, CO 80045

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Other Identifiers 2

Medicaid65330846CO

Medicare PINCF72979CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Medica, Mountain Health CO-OP and more.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

Raj 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 ID2466404934

PECOS Enrollment IDI20050211000822, I20140624001666

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 15

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.

Removal of stone or debris from bile or pancreatic duct using a flexible endoscope 43264

This procedure, called an endoscopic retrograde cholangiopancreatography (ERCP), involves using a flexible tube with a camera (endoscope) to locate and remove stones or debris from your bile or pancreatic duct. It's a non-surgical method to clear the ducts, enhancing your digestive health.

77 services62 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

75 services64 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

56 services55 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

54 services41 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43259

This procedure involves a flexible tube with a camera, called an endoscope, inserted through your mouth to examine your esophagus, stomach, and upper small bowel. An ultrasound device on the endoscope helps get detailed images. It's safe and helps diagnose various conditions.

47 services46 patients

Replacement of stent in pancreatic or bile duct using a flexible endoscope 43276

This procedure involves replacing an existing stent in your pancreatic or bile duct. A flexible endoscope, a tube-like device with a light and camera, is used to view and access the area. The old stent is removed and a new one is placed to help keep the duct open.

31 services20 patients

Removal of stent from pancreatic or bile duct using a flexible endoscope 43275

This procedure involves removing a stent from your pancreatic or bile duct. A flexible endoscope, a thin tube with a light and camera, is used to locate the stent. Once found, it's carefully extracted. This helps maintain proper duct function.

25 services25 patients

Review by radiologist of image from tube placement into pancreatic duct using an endoscope 74329

This procedure involves an expert radiologist examining an image obtained from a tube placement into your pancreatic duct. An endoscope, a flexible tube with a camera, is used for this process. The aim is to assess the condition of your pancreas and ducts.

24 services12 patients

Removal of foreign bodies of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43247

This procedure involves using a flexible instrument, called an endoscope, to remove foreign objects lodged in the esophagus, stomach, or upper small bowel. The endoscope is gently inserted through the mouth to reach the affected area and safely extract the foreign body.

21 services16 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.

20 services20 patients

Incision of pancreatic outlet using a flexible endoscope 43262

This procedure involves a small cut in the outlet of the pancreas using a flexible tube with a camera, called an endoscope. It helps doctors diagnose and treat conditions affecting the pancreas, enhancing patient comfort and recovery.

19 services19 patients

Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope 74330

This procedure involves a radiologist examining images from a tube placement in your bile and pancreatic duct. An endoscope, a flexible tube with a light and camera, is used to help guide this process. It assists in diagnosing and treating conditions related to these ducts.

19 services18 patients

Placement of stent in esophagus, stomach, and/or upper small bowel using a flexible endoscope 43266

This procedure involves using a flexible tube (endoscope) to place a small device (stent) in your esophagus, stomach, or upper small bowel. The stent helps keep these areas open, improving symptoms like difficulty swallowing or blockages.

15 services14 patients

Injection of diagnostic or therapeutic substance or marker in esophagus, stomach, and/or upper small bowel using a flexible endoscope 43253

This procedure involves using a flexible endoscope, a thin tube with a camera, to inject a diagnostic or therapeutic substance into the esophagus, stomach, or upper small bowel. It helps detect or treat various conditions in these areas.

13 services13 patients

Exam of common bile and/or pancreatic duct using a flexible endoscope 43273

This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.

12 services11 patients

Hospital Affiliations CMS Care Compare

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

Billings Clinic

Acute Care Hospitals · Billings, MT

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number270004

Location2800 10th Ave NBillings, MT 59101 · Yellowstone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 80045 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

$132.55 typical visit price

range $58.06 – $174.82

Typical copayment $33.13 (range $14.51 – $43.70)

Most-billed visit code 99204

Established Patient

$102.03 typical visit price

range $18.88 – $142.79

Typical copayment $25.50 (range $4.72 – $35.69)

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.

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.

97.58/100

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

Scored through an Alternative Payment Model

Quality

86.53

Promoting Interoperability

100

Improvement Activities

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.

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