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

Q: What is Rutvi Shah's NPI number?

The NPI number for Rutvi Shah is 1154063550. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Q: What is Rutvi Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Rutvi Shah was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 07, 2022PECOS EnrolledAccepts Medicare Assignment

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: August 09, 2026.

On this page

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, is affiliated with Ssm Health St Mary's Hospital - Madison, 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

Phone(608) 877-2777

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

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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 and accepts Medicare assignment

Dr. Rutvi 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 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.

Hospital Affiliations CMS Care Compare 4

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

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520083

Location700 South Park StMadison, WI 53715 · Dane County

Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Edgerton Hospital And Health Services

Critical Access Hospitals · Edgerton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521319

Location11101 N Sherman RoadEdgerton, WI 53534 · Rock County

Emergency services

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521343

Location900 Ridge StStoughton, WI 53589 · Dane County

Emergency services

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.

DR. ROBERT E. TERBRACK D.O.

Family Medicine

225 CHURCH ST
STOUGHTON, WI 53589

Dane County (608) 877-2700

CLARE TILLMAN KUEHL APNP

Nurse Practitioner

225 CHURCH ST
STOUGHTON, WI 53589

Dane County (608) 877-2777

CORY A FIELDS OD

Optometrist

225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589

Dane County (608) 877-2700

DANIEL J STADDLER MD

Family Medicine

225 CHURCH ST
STOUGHTON, WI 53589

Dane County (608) 877-2777

JOYCE M BREHM MD

Internal Medicine

225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589

Dane County (608) 877-2700

RICHARD G RILLING MD

Orthopaedic Surgery

225 CHURCH ST, DEAN MEDICAL CENTER
STOUGHTON, WI 53589

Dane County (608) 877-2700

SHERI LYNNE PIERCE M.D.

Family Medicine

225 CHURCH ST
STOUGHTON, WI 53589

Dane County (608) 877-2777

LAURA D STOLCPART MD

Family Medicine

225 CHURCH ST
STOUGHTON, WI 53589

Dane County (608) 877-2777

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 Rutvi Shah's NPI number?

The NPI number for Rutvi Shah is 1154063550. It was assigned to this individual provider in the NPPES registry on April 7, 2022.

Where is Rutvi Shah located?

Rutvi Shah practices at 225 Church St, Stoughton, WI 53589. The listed phone number is (608) 877-2777.

What is Rutvi Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rutvi Shah enrolled in Medicare?

Yes. Rutvi 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.

Is Rutvi Shah affiliated with any hospitals?

According to CMS data, Rutvi Shah is affiliated with Ssm Health St Mary's Hospital - Madison, Ssm Health St Mary's Hospital - Janesville, Edgerton Hospital And Health Services and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Rutvi Shah was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.