1. Home
  2. Directory
  3. Virginia
  4. Danville
  5. Internal Medicine
  6. NPI Profile

DR. PRATIK DILIP SHAH DO
NPI 1144589466
Internal Medicine in Danville, VA

Active since May 07, 2012PECOS EnrolledAccepts Medicare Assignment
142 S MAIN ST, DANVILLE, VA 24541(434) 799-3890 Get Directions Write a Review

NPPES record last updated: May 7, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Pratik Dilip Shah Do NPPES

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

DR. PRATIK DILIP SHAH DO (NPI 1144589466) is an individual internal medicine provider in Danville, Virginia, licensed in Virginia (0116024036) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2011).

NPPES Registry Identity

NPI1144589466
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. PRATIK DILIP SHAHCredential: DO
Location Address142 S MAIN STDanville, VA 24541-2922
Mailing Address1202 Deerfield DrReidsville, NC 27320-8353
Phone(434) 799-3890
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2011
Enumeration DateMay 7, 2012
✔ NPI 1144589466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0116024036
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
142 S MAIN ST, Danville, VA 24541
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare 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. Pratik Dilip 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 ID3870711617
PECOS Enrollment IDI20181211003393
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 Reassignments

5

Medicare enrollment records show Pratik Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Moses Cone Physician Services, Inc.
21 mi
Internal Medicine
118 S SCALES ST
Reidsville, NC 27320
  • Reassigned Medicare billing, North Carolina enrollment
  • 691 clinicians in this Medicare group
NPI 1194233171 (336) 347-0511
Shah Osteopathy, PLLC
56 mi
Internal Medicine
2040 BREVARD RD
High Point, NC 27263
  • Reassigned Medicare billing, North Carolina enrollment
NPI 1285306852 (630) 730-4866
Northern Alabama Physicians, LLP
447 mi
Emergency Medicine
1201 7TH STREET SOUTHEAST
Decatur, AL 35601
  • Reassigned Medicare billing, Alabama enrollment
  • 123 clinicians in this Medicare group
NPI 1669618310 (256) 341-2000
Houston County Healthcare Authority
503 mi
Internal Medicine
889 ELBA HWY
Troy, AL 36079
  • Reassigned Medicare billing, Alabama enrollment
  • 514 clinicians in this Medicare group
NPI 1295065811 (334) 347-3404
Gregory Thompson Do LLC
506 mi
Neuromusculoskeletal Medicine & OMM
1817 S OATES ST
Dothan, AL 36301
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1811444177 (334) 793-1081

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 4

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.
168 services95 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
141 services131 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.
114 services66 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.
38 services37 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24541 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%349 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
6%32 patients1/55-star benchmark: 85%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%39 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%63 patients4/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
30%63 patients2/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
38%63 patients2/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%63 patients
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$17.51 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers32 claims32 services$78.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$29.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KIMAYA RYAN COUNCIL MD
Family Medicine
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2225
CATHERINE MARIE FORTE OTR/L
Occupational Therapist
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2199
CASEY ALEXANDER MARSH PA-C
Physician Assistant
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2100
DR. DIANA DUONG DO
Internal Medicine
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2225
ALEX JOHN RAUSENBERGER
Student in an Organized Health Care Education/Training Program
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2100
MRS. AMANDA ESKEW RD
Dietitian, Registered
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2295
DR. STECKER TAM PIERSON MD
Internal Medicine
142 S MAIN ST
DANVILLE, VA 24541
Danville City (434) 799-2225
NURSE ANESTHESIA OF VIRGINIA PLLC
Nurse Anesthetist, Certified Registered
142 S MAIN ST, ANESTHESIA DEPT
DANVILLE, VA 24541
Danville City (434) 799-2375

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 Pratik Shah's NPI number?

The NPI number for Pratik Shah is 1144589466. It was assigned to this individual provider in the NPPES registry on May 7, 2012.

Where is Pratik Shah located?

Pratik Shah practices at 142 S Main St, Danville, VA 24541. The listed phone number is (434) 799-3890.

What is Pratik Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pratik Shah enrolled in Medicare?

Yes. Pratik 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 organizations bill Medicare for Pratik Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratik Shah reassigns Medicare benefits to 5 organizations: Moses Cone Physician Services, Inc. (Reidsville, NC), Shah Osteopathy, PLLC (High Point, NC), Northern Alabama Physicians, LLP (Decatur, AL), Houston County Healthcare Authority (Troy, AL) and Gregory Thompson Do LLC (Dothan, AL). Each 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 Pratik Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratik Shah accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Cigna Healthcare and UnitedHealthcare list Pratik 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 Pratik Shah affiliated with any hospitals?

According to CMS data, Pratik Shah is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Pratik Shah was last updated on May 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.