DARSHAN N. SHAH MD
NPI 1144423872
Psychiatry & Neurology - Neurology in Austin, TX

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
72.52/100
CMS Quality Rating
1600 W 38TH ST STE 308, AUSTIN, TX 78731(512) 324-3540(512) 324-3541 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Darshan N. Shah Md NPPES

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

DARSHAN N. SHAH MD (NPI 1144423872) is an individual neurology provider in Austin, Texas, licensed in Illinois (036-113181) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1144423872
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDARSHAN N. SHAHCredential: MD
Location Address1600 W 38TH ST STE 308Austin, TX 78731-6406
Mailing Address1600 W 38th St Ste 308Austin, TX 78731-6406 · (512) 324-3540 · Fax (512) 324-3541
Fax(512) 324-3541
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJune 8, 2007
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
NPI 1144423872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in IL · 036-113181
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
1600 W 38TH ST STE 308, Austin, TX 78731

Other Identifiers 1

OtherR3433TX · Tx State License

Accepted 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

Darshan N. 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 ID4688773419
PECOS Enrollment IDI20170727001676
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.

Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
10,735 services17 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.
54 services48 patients
Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face 64615
This procedure involves injecting a chemical into specific facial and neck muscles, causing temporary paralysis. This helps reduce muscle activity and can alleviate certain medical conditions. Both sides of the face are treated for a balanced result.
49 services15 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.
43 services43 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.
29 services26 patients
Nerve conduction, 3-4 studies 95908
Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.
28 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

72.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality61.27
Promoting Interoperability100
Improvement Activities40
Cost47.12

Other Providers at the Same Location NPPES 8

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

Physician Assistant
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Psychiatry & Neurology (Vascular Neurology)
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Nurse Practitioner (Gerontology)
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Physical Medicine & Rehabilitation
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Psychiatry & Neurology (Vascular Neurology)
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Psychiatry & Neurology (Neurology)
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Physician Assistant
1600 W 38TH ST STE 308
AUSTIN, TX 78731
Psychiatry & Neurology (Neurology)
1600 W 38TH ST STE 308
AUSTIN, TX 78731

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 Darshan Shah's NPI number?

The NPI number for Darshan Shah is 1144423872. It was assigned to this individual provider in the NPPES registry on June 8, 2007.

Where is Darshan Shah located?

Darshan Shah practices at 1600 W 38th St Ste 308, Austin, TX 78731. The listed phone number is (512) 324-3540.

What is Darshan Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Darshan Shah enrolled in Medicare?

Yes. Darshan 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 Darshan Shah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Darshan 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 Darshan Shah affiliated with any hospitals?

According to CMS data, Darshan Shah is affiliated with Ascension Seton Medical Center Austin, Dell Seton Med Center At The University Of Tx and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Darshan Shah was last updated on March 8, 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.