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SHANIL SHAH MD
NPI 1154974145
Internal Medicine in Worcester, MA

Active since July 19, 2019PECOS EnrolledAccepts Medicare Assignment
85.73/100
CMS Quality Rating
ST VINCENT HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE, 123 SUMMER STREET, WORCESTER, MA 01608(508) 363-5000 Get Directions Write a Review

NPPES record last updated: March 26, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shanil Shah Md NPPES

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

SHANIL SHAH MD (NPI 1154974145) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Florida (ME165027) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1154974145
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHANIL SHAHCredential: MD
Location AddressST VINCENT HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE, 123 SUMMER STREETWorcester, MA 01608
Mailing Address1936 Bruce B Downs BlvdWesley Chapel, FL 33544-9262 · (352) 307-9925
Phone(508) 363-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 19, 2019
Last NPPES UpdateMarch 26, 2024
NPPES CertifiedMarch 26, 2024
✔ NPI 1154974145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME165027
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 280508 (MA)
ST VINCENT HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE, Worcester, MA 01608
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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

Shanil 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 ID5890162309
PECOS Enrollment IDI20221111001434
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 01608 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

85.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
Promoting Interoperability100
Improvement Activities40

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 Shanil Shah's NPI number?

The NPI number for Shanil Shah is 1154974145. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Shanil Shah located?

Shanil Shah practices at St Vincent Hospital, Department Of Internal Medicine 123 Summer Street, Worcester, MA 01608. The listed phone number is (508) 363-5000.

What is Shanil Shah's specialty?

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

Is Shanil Shah enrolled in Medicare?

Yes. Shanil 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.

When was this NPI record last updated?

The NPPES record for Shanil Shah was last updated on March 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.