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SIDDHARTH H SHAH M.D.
NPI 1174510358
Psychiatry & Neurology - Neurology in New Port Richey, FL

Active since October 03, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
4762 ROWAN RD, NEW PORT RICHEY, FL 34653(727) 848-0800(727) 843-8157 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Siddharth H Shah M.d. NPPES

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

SIDDHARTH H SHAH M.D. (NPI 1174510358) is an individual neurology provider in New Port Richey, Florida, licensed in Florida (ME0068165) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Adventhealth North Pinellas, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1174510358
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSIDDHARTH H SHAHCredential: M.D.
Location Address4762 ROWAN RDNew Port Richey, FL 34653-5601
Mailing AddressPo Box 768Elfers, FL 34680-0768 · (727) 848-0800 · Fax (727) 843-8157
Phone(727) 848-0800
Fax(727) 843-8157
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateOctober 3, 2005
Last NPPES UpdateJune 10, 2008
✔ NPI 1174510358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in FL · ME0068165
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4762 ROWAN RD, New Port Richey, FL 34653
Open in Google Maps ↗

Other Identifiers 3

Medicaid377497000FL
Medicare UPING04117FL
Medicare ID-Type Unspecified26802AFL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Siddharth H Shah M.d. 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 ID244122182
PECOS Enrollment IDI20051206000939
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 12

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,176 services106 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
590 services54 patients
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.
586 services188 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.
201 services187 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
192 services73 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
129 services114 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth North Pinellas

Acute Care Hospitals · Tarpon Springs, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100055
Location1395 S Pinellas AveTarpon Springs, FL 34689 · Pinellas County
Emergency services

Hca Florida Trinity Hospital

Acute Care Hospitals · Trinity, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100191
Location9330 Sr 54Trinity, FL 34655 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34653 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. RAKESH P SHAH M.D.
Psychiatry & Neurology (Neurology)
4762 ROWAN RD
NEW PORT RICHEY, FL 34653
Pasco County (727) 848-0800
SIDDHARTH H SHAH MD PA
Psychiatry & Neurology (Neurology)
4762 ROWAN RD
NEW PORT RICHEY, FL 34653
Pasco County (727) 848-0800

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 Siddharth Shah's NPI number?

The NPI number for Siddharth Shah is 1174510358. It was assigned to this individual provider in the NPPES registry on October 3, 2005.

Where is Siddharth Shah located?

Siddharth Shah practices at 4762 Rowan Rd, New Port Richey, FL 34653. The listed phone number is (727) 848-0800.

What is Siddharth Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Siddharth Shah enrolled in Medicare?

Yes. Siddharth 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 Siddharth Shah accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Siddharth 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 Siddharth Shah affiliated with any hospitals?

According to CMS data, Siddharth Shah is affiliated with Adventhealth North Pinellas and Hca Florida Trinity Hospital.

When was this NPI record last updated?

The NPPES record for Siddharth Shah was last updated on June 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.