DR. NIRMAL K SHAH M.D.
NPI 1194728816
Internal Medicine - Cardiovascular Disease in Frederick, MD

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
93.23/100
CMS Quality Rating
180 THOMAS JOHNSON DR, STE 202, FREDERICK, MD 21702(301) 631-6877(240) 566-7820 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nirmal K Shah M.d. NPPES

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

DR. NIRMAL K SHAH M.D. (NPI 1194728816) is an individual cardiovascular disease provider in Frederick, Maryland, licensed in Maryland (D0057107) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1194728816
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NIRMAL K SHAHCredential: M.D.
Location Address180 THOMAS JOHNSON DR, STE 202Frederick, MD 21702-4409
Mailing Address180 Thomas Johnson Drive, Suite 202Frederick, MD 21704-4550 · (301) 631-6877 · Fax (240) 566-7820
Fax(240) 566-7820
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 27, 2005
Last NPPES UpdateSeptember 7, 2022
NPPES CertifiedSeptember 7, 2022
NPI 1194728816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MD · D0057107
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
180 THOMAS JOHNSON DR, Frederick, MD 21702

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

Dr. Nirmal K 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 ID9032294210
PECOS Enrollment IDI20110303000432
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 28

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,870 services1,451 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,589 services1,165 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
1,330 services1,076 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
1,181 services294 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
670 services606 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
512 services498 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

93.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.98
Promoting Interoperability100
Improvement Activities40
Cost79.45

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.

Internal Medicine (Cardiovascular Disease)
180 THOMAS JOHNSON DR, STE 202
FREDERICK, MD 21702
Internal Medicine (Interventional Cardiology)
180 THOMAS JOHNSON DR, SUITE 202
FREDERICK, MD 21702
Internal Medicine (Cardiovascular Disease)
180 THOMAS JOHNSON DR, SUITE 202
FREDERICK, MD 21702
Specialist
180 THOMAS JOHNSON DR, 202
FREDERICK, MD 21702
Internal Medicine (Cardiovascular Disease)
180 THOMAS JOHNSON DR, STE 202
FREDERICK, MD 21702
Dentist (General Practice)
180 THOMAS JOHNSON DR, STE 200
FREDERICK, MD 21702

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 Nirmal Shah's NPI number?

The NPI number for Nirmal Shah is 1194728816. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Nirmal Shah located?

Nirmal Shah practices at 180 Thomas Johnson Dr Ste 202, Frederick, MD 21702. The listed phone number is (301) 631-6877.

What is Nirmal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nirmal Shah enrolled in Medicare?

Yes. Nirmal 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.

Is Nirmal Shah affiliated with any hospitals?

According to CMS data, Nirmal Shah is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Nirmal Shah was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.