SHANIL SHAH MD
NPI 1154974145
Internal Medicine in Worcester, MA
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
Specialties & Licenses 2
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Shanil Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Framingham, MA 01702
- Reassigned Medicare billing, Massachusetts enrollment
- 156 clinicians in this Medicare group
Hyannis, MA 02601
- Reassigned Medicare billing, Massachusetts enrollment
- 678 clinicians in this Medicare group
Wesley Chapel, FL 33544
- Reassigned Medicare billing, Florida enrollment
- 7 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.
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.
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.
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.
Which organizations bill Medicare for Shanil Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shanil Shah reassigns Medicare benefits to 3 organizations: Hospitalist Physicians Of Massachusetts PC (Framingham, MA), Physicians Of Cape Cod Hospital (Hyannis, MA) and Physicians Of Mid Florida LLC (Wesley Chapel, FL). 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 Shanil Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Shanil Shah, MD · NPI 1154974145
Internal Medicine physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since July 19, 2019.
## Identity
- **NPI:** 1154974145 (Entity type: Individual)
- **Enumerated:** July 19, 2019
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** ME165027 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** ST VINCENT HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE, 123 SUMMER STREET, Worcester, MA 01608
- **Phone:** (508) 363-5000
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Hospitalist Physicians Of Massachusetts PC (NPI 1376145680, Framingham, MA); Physicians Of Cape Cod Hospital (NPI 1679832364, Hyannis, MA); Physicians Of Mid Florida LLC (NPI 1366992463, Wesley Chapel, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 26, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1154974145) · Data from the CMS NPPES public registry.