DR. RUTVI SHAH MD
NPI 1154063550
Family Medicine in Stoughton, WI

Active since April 07, 2022PECOS Enrolled
225 CHURCH ST, STOUGHTON, WI 53589(608) 877-2777(608) 877-2774 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Rutvi Shah Md NPPES

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

DR. RUTVI SHAH MD (NPI 1154063550) is an individual family medicine provider in Stoughton, Wisconsin, licensed in Wisconsin (82685-20) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2022).

NPPES Registry Identity

NPI1154063550
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RUTVI SHAHCredential: MD
Location Address225 CHURCH STStoughton, WI 53589-1801
Mailing Address225 Church StStoughton, WI 53589-1801 · (608) 877-2777 · Fax (608) 877-2774
Fax(608) 877-2774
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2022
Enumeration DateApril 7, 2022
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
NPI 1154063550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 82685-20
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

225 CHURCH ST, Stoughton, WI 53589

Other Identifiers 1

Medicaid1154063550WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Rutvi Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113307570
PECOS Enrollment IDI20251022001225
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53589 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Optometrist
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Family Medicine
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Family Medicine
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Surgery
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Physician Assistant (Medical)
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Nurse Practitioner
225 CHURCH ST
STOUGHTON, WI 53589
Orthopaedic Surgery
225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589
Durable Medical Equipment & Medical Supplies
225 CHURCH ST
STOUGHTON, WI 53589

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154063550, enumerated as an "individual" on April 07, 2022.

The provider is located at 225 CHURCH ST STOUGHTON, WI 53589 and the phone number is (608) 877-2777.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.