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DHARIKA PARESHKUMAR SHAH DO
NPI 1124488580
Internal Medicine - Nephrology in Middletown, OH

Active since February 28, 2016PECOS EnrolledAccepts Medicare Assignment
57.51/100
CMS Quality Rating
200 MEDICAL CENTER DR STE 360, MIDDLETOWN, OH 45005(513) 487-5305 Get Directions Write a Review

NPPES record last updated: July 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 27, 2022, Aug 2, 2019, Feb 28, 2016 (3 updates tracked since 2016).

About Dharika Pareshkumar Shah Do NPPES

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

DHARIKA PARESHKUMAR SHAH DO (NPI 1124488580) is an individual nephrology provider in Middletown, Ohio, licensed in Ohio (34.015594) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1124488580
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDHARIKA PARESHKUMAR SHAHCredential: DO
Location Address200 MEDICAL CENTER DR STE 360Middletown, OH 45005-5179
Mailing Address15855 19 Mile RdClinton Township, MI 48038-3504
Phone(513) 487-5305
Sole ProprietorNo
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2016
Enumeration DateFebruary 28, 2016
Last NPPES UpdateJuly 27, 20223 updates tracked since enumeration
NPPES CertifiedJuly 27, 2022
✔ NPI 1124488580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in OH · 34.015594
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 2019-01633 (NC)
Also ListedHospitalistTaxonomy 208M00000X · License 2019-01633 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MEDICAL CENTER DR STE 360, Middletown, OH 45005
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1Medical Center BlvdWinston Salem, NC 27157-3504 · Phone (336) 716-2255
Location 215855 19 Mile RdClinton Township, MI 48038-3504 · Phone (586) 263-2972

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual 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

Dharika Pareshkumar Shah Do 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 ID9133411267
PECOS Enrollment IDI20220825003481, I20220926000183
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 11

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
483 services203 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
265 services112 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.
184 services110 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
179 services27 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
149 services139 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.
69 services57 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Atrium Medical Center

Acute Care Hospitals · Franklin, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360076
LocationOne Medical Center DriveFranklin, OH 45005 · Warren County
Emergency services Birthing friendly

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

West Chester Hospital

Acute Care Hospitals · West Chester, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360354
Location7700 University DriveWest Chester, OH 45069 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45005 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

57.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality2.96
Promoting Interoperability100
Improvement Activities20
Cost63.73

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUCHI PATEL NP
Nurse Practitioner (Acute Care)
200 MEDICAL CENTER DR STE 360
MIDDLETOWN, OH 45005
Warren County (513) 217-5720
DR. SAVIO M KUMAR M.D.
Internal Medicine (Nephrology)
200 MEDICAL CENTER DR STE 360
MIDDLETOWN, OH 45005
Warren County (513) 217-5720
DR. AMIT KUMAR RAJPUT M.D.
Internal Medicine (Nephrology)
200 MEDICAL CENTER DR STE 360
MIDDLETOWN, OH 45005
Warren County (513) 217-5720

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 Dharika Shah's NPI number?

The NPI number for Dharika Shah is 1124488580. It was assigned to this individual provider in the NPPES registry on February 28, 2016.

Where is Dharika Shah located?

Dharika Shah practices at 200 Medical Center Dr Ste 360, Middletown, OH 45005. The listed phone number is (513) 487-5305.

What is Dharika Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Dharika Shah enrolled in Medicare?

Yes. Dharika 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.

What insurance does Dharika Shah accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 1 other insurer list Dharika 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 Dharika Shah affiliated with any hospitals?

According to CMS data, Dharika Shah is affiliated with Mercy Health - Fairfield Hospital, Atrium Medical Center, Christ Hospital, Bethesda North and West Chester Hospital.

When was this NPI record last updated?

The NPPES record for Dharika Shah was last updated on July 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.