RITA SHAH MD
NPI 1154583227
Hospitalist in Rochester, NY
About Rita Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RITA SHAH MD (NPI 1154583227) is an individual hospitalist provider in Rochester, New York, licensed in New York (248993) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted 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
Rita 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.
Medicare Billing Reassignments
10Medicare enrollment records show Rita Shah reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rochester, NY 14621
- Reassigned Medicare billing, New York enrollment
- 2,285 clinicians in this Medicare group
Liverpool, NY 13088
- Reassigned Medicare billing, New York enrollment
- 625 clinicians in this Medicare group
Utica, NY 13502
- Reassigned Medicare billing, New York enrollment
- 657 clinicians in this Medicare group
Amsterdam, NY 12010
- Reassigned Medicare billing, New York enrollment
- 63 clinicians in this Medicare group
Yorktown Heights, NY 10598
- Reassigned Medicare billing, New York enrollment
- 531 clinicians in this Medicare group
Valhalla, NY 10595
- Reassigned Medicare billing, New York enrollment
- 1,663 clinicians in this Medicare group
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 clinicians in this Medicare group
Cheyenne, WY 82001
- Reassigned Medicare billing, Wyoming enrollment
- 70 clinicians in this Medicare group
Tucson, AZ 85745
- Reassigned Medicare billing, Arizona enrollment
- 293 clinicians in this Medicare group
Yuba City, CA 95991
- Reassigned Medicare billing, California enrollment
- 3,056 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYCheyenne Regional Medical Center
Acute Care Hospitals · Cheyenne, WYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 14621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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.
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 Rita Shah's NPI number?
The NPI number for Rita Shah is 1154583227. It was assigned to this individual provider in the NPPES registry on June 30, 2008.
Where is Rita Shah located?
Rita Shah practices at 1425 Portland Ave, Rochester, NY 14621. The listed phone number is (585) 922-5067.
What is Rita Shah's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Rita Shah enrolled in Medicare?
Yes. Rita 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 Rita Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rita Shah reassigns Medicare benefits to 10 organizations: Rochester General Hospital (Rochester, NY), St Josephs Medical PC (Liverpool, NY), Mvhs Inc (Utica, NY), Upstate Ny Doctor Of Medicine PLLC (Amsterdam, NY), Lawrence Medical Associates, PC (Yorktown Heights, NY) and 5 more organizations, listed in the Medicare section above. 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 Rita Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rita Shah accept?
Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Wyoming, Cigna Healthcare and Imperial Insurance Companies, Inc. list Rita 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 Rita Shah affiliated with any hospitals?
According to CMS data, Rita Shah is affiliated with St Joseph's Hospital Health Center and Cheyenne Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Rita Shah was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Rita Shah, MD · NPI 1154583227
Hospitalist physician in Rochester, New York. Individual provider, active in the CMS NPPES registry since June 30, 2008.
## Identity
- **NPI:** 1154583227 (Entity type: Individual)
- **Enumerated:** June 30, 2008
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 248993 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 1425 PORTLAND AVE, Rochester, NY 14621-3011
- **Phone:** (585) 922-5067
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Rochester General Hospital (NPI 1063531929, Rochester, NY); St Josephs Medical PC (NPI 1942501747, Liverpool, NY); Mvhs Inc (NPI 1770690737, Utica, NY); Upstate Ny Doctor Of Medicine PLLC (NPI 1356171490, Amsterdam, NY); Lawrence Medical Associates, PC (NPI 1023257441, Yorktown Heights, NY); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2005
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154583227) · Data from the CMS NPPES public registry.