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RISHABH N SHAH
NPI 1134462153
Surgery in Chattanooga, TN

Active since March 27, 2013PECOS EnrolledAccepts Medicare Assignment
94.7/100
CMS Quality Rating
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421(423) 495-4345(423) 495-4934 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 27, 2021, Oct 15, 2020 (2 updates tracked since 2020).

About Rishabh N Shah NPPES

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

RISHABH N SHAH (NPI 1134462153) is an individual surgery provider in Chattanooga, Tennessee, licensed in Tennessee (60481) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with Chi Memorial Hospital- Georgia, and is a graduate of University Of South Carolina School Of Medicine (2013).

NPPES Registry Identity

NPI1134462153
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRISHABH N SHAH
Location Address1949 GUNBARREL RD STE 206Chattanooga, TN 37421-7133
Mailing Address1949 Gunbarrel Rd Ste 206Chattanooga, TN 37421-7133 · (423) 495-4345 · Fax (423) 495-4934
Phone(423) 495-4345
Fax(423) 495-4934
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2013
Enumeration DateMarch 27, 2013
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
✔ NPI 1134462153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in TN · 60481✔ Licensed in WA · ML60370411
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1949 GUNBARREL RD STE 206, Chattanooga, TN 37421
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health 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

Rishabh N Shah 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 ID9133427966
PECOS Enrollment IDI20200905000049, I20200909000161
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 5

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.

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Repair of hernia of muscle at esophagus and stomach using an endoscope 43281
This procedure fixes a hernia, an area where your stomach and esophagus muscles have weakened. Using an endoscope, a thin tube with a camera, the doctor can see and repair the hernia without large incisions, promoting quicker recovery.
13 services13 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.
13 services13 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.
13 services13 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Chi Memorial Hospital- Georgia

Acute Care Hospitals · Fort Oglethorpe, GA
OwnershipVoluntary non-profit - Private
CMS Certification Number110236
Location100 Gross Crescent CircleFort Oglethorpe, GA 30742 · Catoosa County
Emergency services

Memorial Healthcare System, Inc

Acute Care Hospitals · Chattanooga, TN
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440091
Location2525 Desales AveChattanooga, TN 37404 · Hamilton County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

94.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality89.41
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

JUSTIN MICHAEL ELLISON
Nurse Practitioner
1949 GUNBARREL RD STE 206
CHATTANOOGA, TN 37421
Hamilton County (423) 495-4349
GEORGIA PAIN AND WELLNESS CENTER, LLC
Pain Medicine (Interventional Pain Medicine)
1949 GUNBARREL RD STE 206
CHATTANOOGA, TN 37421
Hamilton County (770) 962-3642

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 Rishabh Shah's NPI number?

The NPI number for Rishabh Shah is 1134462153. It was assigned to this individual provider in the NPPES registry on March 27, 2013.

Where is Rishabh Shah located?

Rishabh Shah practices at 1949 Gunbarrel Rd Ste 206, Chattanooga, TN 37421. The listed phone number is (423) 495-4345.

What is Rishabh Shah's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Rishabh Shah enrolled in Medicare?

Yes. Rishabh 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 Rishabh Shah accept?

Health plans from Alliant Health Plans, Inc., Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and Ambetter of Alabama and 2 other insurers list Rishabh 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 Rishabh Shah affiliated with any hospitals?

According to CMS data, Rishabh Shah is affiliated with Chi Memorial Hospital- Georgia and Memorial Healthcare System, Inc.

When was this NPI record last updated?

The NPPES record for Rishabh Shah was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.