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POOJA SUNIL SHAH MD
NPI 1164914156
Internal Medicine in Salisbury, NC

Active since June 05, 2018PECOS EnrolledAccepts Medicare Assignment
612 MOCKSVILLE AVE, SALISBURY, NC 28144(704) 210-5260(704) 210-5265 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2025, Mar 12, 2025, Dec 13, 2022 and 3 more (6 updates tracked since 2021).

About Pooja Sunil Shah Md NPPES

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

POOJA SUNIL SHAH MD (NPI 1164914156) is an individual internal medicine provider in Salisbury, North Carolina, licensed in North Carolina (2024-03514) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164914156
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePOOJA SUNIL SHAHCredential: MD
Location Address612 MOCKSVILLE AVESalisbury, NC 28144-2732
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Phone(704) 210-5260
Fax(704) 210-5265
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 5, 2018
Last NPPES UpdateDecember 23, 20256 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1164914156 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2024-03514✔ Licensed in PA · MT215816✔ Licensed in TN · 63625
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 ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 63625 (TN)
Also ListedHospitalistTaxonomy 208M00000X · License 2024-03514 (NC), 63625 (TN)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
612 MOCKSVILLE AVE, Salisbury, NC 28144
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1200 Hawthorne LnCharlotte, NC 28204-2515 · Phone (704) 384-5416
Location 23443 Dickerson Pike Ste 680Nashville, TN 37207-2537 · Phone (615) 865-3322 · Fax (615) 467-6692

Other Identifiers 1

MedicaidQ068168TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

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

Pooja Sunil 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 ID3971850496
PECOS Enrollment IDI20250313003006
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
65 services48 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
35 services26 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
25 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Mint Hill Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340190
Location8201 Healthcare LoopCharlotte, NC 28215 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28144 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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. JAMES ROBERT CERVIN M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 210-5078
HARITHA MACHAVARAPU M.B.B.S
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 210-5260
TRACY LOWIE HILDEBRAN A.N.P.
Nurse Practitioner
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 210-5260
HOLLIE SARIF BSN, RN
Student in an Organized Health Care Education/Training Program
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 210-5000
MR. EDWARD BLAINE BOSTIAN CRNA
Nurse Anesthetist, Certified Registered
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 210-6965
MORGAN ACKERSON LCMHCA, NCC, NA
Counselor (Mental Health)
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 210-5061
DANIEL LEE HOLLAND MD
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 633-7220
BRADFORD PEARCE GRIMM M.D.
Hospitalist
612 MOCKSVILLE AVE
SALISBURY, NC 28144
Rowan County (704) 633-7220

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 Pooja Shah's NPI number?

The NPI number for Pooja Shah is 1164914156. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Pooja Shah located?

Pooja Shah practices at 612 Mocksville Ave, Salisbury, NC 28144. The listed phone number is (704) 210-5260.

What is Pooja Shah's specialty?

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

Is Pooja Shah enrolled in Medicare?

Yes. Pooja 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.

What insurance does Pooja Shah accept?

Health plans from Oscar Insurance Company list Pooja 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 Pooja Shah affiliated with any hospitals?

According to CMS data, Pooja Shah is affiliated with Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center and Novant Health Mint Hill Medical Center.

When was this NPI record last updated?

The NPPES record for Pooja Shah was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.