KAVITA K SHAH MD
NPI 1174738413
Internal Medicine - Endocrinology, Diabetes & Metabolism in Tulsa, OK

Active since May 11, 2007PECOS EnrolledAccepts Medicare Assignment
85.83/100
CMS Quality Rating
4720 S HARVARD AVE STE 100, TULSA, OK 74135(918) 403-4120 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 1, 2024, Jul 20, 2023 (2 updates tracked since 2023).

About Kavita K Shah Md NPPES

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

KAVITA K SHAH MD (NPI 1174738413) is an individual endocrinology, diabetes & metabolism provider in Tulsa, Oklahoma, licensed in Oklahoma (28092) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and maintains a secondary practice location in Aurora.

NPPES Registry Identity

NPI1174738413
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKAVITA K SHAHCredential: MD
Location Address4720 S HARVARD AVE STE 100Tulsa, OK 74135-3023
Mailing Address4720 S Harvard Ave Ste 100Tulsa, OK 74135-3023 · (918) 403-4120
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2006
Enumeration DateMay 11, 2007
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
NPI 1174738413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses Licensed in OK · 28092 Licensed in CO · DR.0071548
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Also ListedInternal MedicineTaxonomy 207R00000X · License 28092 (OK), 77175 (AZ), P7348 (TX)
4720 S HARVARD AVE STE 100, Tulsa, OK 74135

Secondary Practice Location 1

Location 112801 E 17th Ave, Mail stop 8106Aurora, CO 80045 · Phone (303) 724-8098

Other Identifiers 1

Medicaid200306790AOK

Accepted 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

Kavita K 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 ID5092994285
PECOS Enrollment IDI20110119001353
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.

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370018
Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County
Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370114
Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74135 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

85.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.74
Promoting Interoperability100
Improvement Activities40
Cost51.95

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$183.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Internal Medicine (Endocrinology, Diabetes & Metabolism)
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Family Medicine
4720 S HARVARD AVE STE 100
TULSA, OK 74135
Physician Assistant
4720 S HARVARD AVE STE 100
TULSA, OK 74135

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174738413, enumerated as an "individual" on May 11, 2007.

The provider is located at 4720 S HARVARD AVE STE 100 TULSA, OK 74135 and the phone number is (918) 403-4120.

Internal Medicine with taxonomy code 207RE0101X and a focus in Endocrinology, Diabetes & Metabolism.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma,. Please consult your insurance carrier or call the provider to verify.

Kavita Shah is affiliated with: ASCENSION ST JOHN JANE PHILLIPS and ASCENSION ST JOHN MEDICAL CENTER.