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

Q: 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.

Q: What is Pooja Shah's specialty?

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

Q: 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 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 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: October 25, 2026.

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

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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

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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

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

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.

Medicare Billing Reassignments

Medicare enrollment records show Pooja Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Novant Health Medical Group, LLC

Same address

Hospitalist

612 MOCKSVILLE AVE
Salisbury, NC 28144

Reassigned Medicare billing, North Carolina enrollment
2,998 clinicians in this Medicare group

NPI 1124762877 (704) 210-5260

Cookeville Hospitalist Group, PLLC

285 mi

Hospitalist

1 MEDICAL CENTER BLVD
Cookeville, TN 38501

Reassigned Medicare billing, Tennessee enrollment
107 clinicians in this Medicare group

NPI 1467133371 (931) 528-2541

App Of Tennessee Hm, PLLC

337 mi

Hospitalist

2835 HIGHWAY 231 N
Shelbyville, TN 37160

Reassigned Medicare billing, Tennessee enrollment
498 clinicians in this Medicare group

NPI 1396160768 (931) 685-5433

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 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)