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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAVITA K SHAH MD
NPI 1174738413
Family Medicine - Diabetology in Tulsa, OK

Active since May 11, 2007PECOS Enrolled
85.83/100
CMS Quality Rating
6126 E 61ST ST, TULSA, OK 74136(918) 576-6998(918) 584-8620 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 31, 2026, Oct 1, 2024, Jul 20, 2023 (3 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 diabetology 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 Taxonomy207QB0505X
Provider Legal NameKAVITA K SHAHCredential: MD
Location Address6126 E 61ST STTulsa, OK 74136-2117
Mailing Address6126 E 61st StTulsa, OK 74136-2117 · (918) 576-6998 · Fax (918) 584-8620
Phone(918) 576-6998
Fax(918) 584-8620
Sole ProprietorNo
Medical School CMSUniversity Of Missouri, Kansas City, School Of MedicineGraduated 2006
Enumeration DateMay 11, 2007
Last NPPES UpdateAugust 31, 20263 updates tracked since enumeration
NPPES CertifiedAugust 31, 2026
✔ NPI 1174738413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · DiabetologyAllopathic & Osteopathic Physicians
Taxonomy Code207QB0505X
License✔ Licensed in OK · 28092
Definition
A family medicine physician who specializes in diagnosis and management of type 1, type 2, gestational, and atypical diabetes; diabetes complications; hospital management of diabetic patients; use of technology in the treatment and monitoring of diabetes; management of ancillary diagnoses, such as hypertension, obesity, lipidemia, etc.; and education and counseling on nutrition and lifestyle management.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28092 (OK), 77175 (AZ), P7348 (TX)
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 28092 (OK), DR.0071548 (CO)
6126 E 61ST ST, Tulsa, OK 74136
Open in Google Maps ↗

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid200306790AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica 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

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

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 4

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

OKLAHOMA STATE UNIVERSITY
Clinic/Center (Medical Specialty)
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 294-3430
HANNA FOGG D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 576-6998
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 561-8306
SARAH SOUVANNACHAK BRADLEY D.O
Obstetrics & Gynecology (Obstetrics)
6126 E 61ST ST
TULSA, OK 74136
Tulsa County (918) 281-2575

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 Kavita Shah's NPI number?

The NPI number for Kavita Shah is 1174738413. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Kavita Shah located?

Kavita Shah practices at 6126 E 61st St, Tulsa, OK 74136. The listed phone number is (918) 576-6998.

What is Kavita Shah's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Diabetology, with taxonomy code 207QB0505X.

Is Kavita Shah enrolled in Medicare?

Yes. Kavita 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 Kavita Shah accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica and Mending Health list Kavita 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 Kavita Shah affiliated with any hospitals?

According to CMS data, Kavita Shah is affiliated with Ascension St John Jane Phillips and Ascension St John Medical Center.

When was this NPI record last updated?

The NPPES record for Kavita Shah was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.