ATULKUMAR THAKORLAL SHAH M.D.
NPI 1194729152
Internal Medicine - Gastroenterology in Arlington, TX

Active since June 08, 2005PECOS EnrolledAccepts Medicare Assignment
1001 N WALDROP DR STE 509, ARLINGTON, TX 76012(817) 394-4300(817) 394-0200 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 16, 2024, Apr 2, 2020, Aug 30, 2016 (3 updates tracked since 2016).

About Atulkumar Thakorlal Shah M.d. NPPES

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

ATULKUMAR THAKORLAL SHAH M.D. (NPI 1194729152) is an individual gastroenterology provider in Arlington, Texas, licensed in Texas (J1039) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Stanford, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1194729152
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameATULKUMAR THAKORLAL SHAHCredential: M.D.
Location Address1001 N WALDROP DR STE 509Arlington, TX 76012-4703
Mailing Address950 E State Highway 114 Ste 220Southlake, TX 76092-5240 · (214) 424-2200
Fax(817) 394-0200
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateJune 8, 2005
Last NPPES UpdateJuly 28, 20253 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1194729152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
Licenses✔ Licensed in TX · J1039✔ Licensed in CA · C167727
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License C167727 (CA)
Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License J1039 (TX)
Also ListedInternal Medicine · Transplant HepatologyTaxonomy 207RT0003X · License C167727 (CA)
1001 N WALDROP DR STE 509, Arlington, TX 76012

Other Names 1

Other Name (5)Atul T Shah Md

Secondary Practice Location 1

Location 1300 Pasteur DrStanford, CA 94305-2200 · Phone (650) 723-4000

Other Identifiers 4

Other100004129TX · Railroad Medicare
Other8AB810TX · Bcbs
Medicaid114957707TX
Other8FX464TX · Blue Cross Blue Shield

Accepted Insurance

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

Atulkumar Thakorlal 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 ID4688757503
PECOS Enrollment IDI20080214000427
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

2

Medicare enrollment records show Atulkumar Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical Medical Laboratory
1800 PLAZA DR
Bedford, TX 76021
  • Reassigned Medicare billing, Texas enrollment
  • 575 clinicians in this Medicare group
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group

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 9

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.

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.
117 services92 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
41 services41 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
36 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services33 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
35 services35 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
33 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76012 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 5

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

Internal Medicine (Gastroenterology)
1001 N WALDROP DR STE 509
ARLINGTON, TX 76012
Internal Medicine (Gastroenterology)
1001 N WALDROP DR STE 509
ARLINGTON, TX 76012
Nurse Practitioner
1001 N WALDROP DR STE 509
ARLINGTON, TX 76012
Physician Assistant
1001 N WALDROP DR STE 509
ARLINGTON, TX 76012
Internal Medicine (Gastroenterology)
1001 N WALDROP DR STE 509
ARLINGTON, TX 76012

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 Atulkumar Shah's NPI number?

The NPI number for Atulkumar Shah is 1194729152. It was assigned to this individual provider in the NPPES registry on June 8, 2005. The provider is also known as Atul T Shah MD.

Where is Atulkumar Shah located?

Atulkumar Shah practices at 1001 N Waldrop Dr Ste 509, Arlington, TX 76012. The listed phone number is (817) 394-4300.

What is Atulkumar Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Atulkumar Shah enrolled in Medicare?

Yes. Atulkumar 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.

Which organizations bill Medicare for Atulkumar Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Atulkumar Shah reassigns Medicare benefits to 2 organizations: Texas Digestive Disease Consultants, PLLC (Bedford, TX) and Tmh Physician Associates PLLC (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Atulkumar Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Atulkumar Shah accept?

Health plans from Blue Cross and Blue Shield of Texas list Atulkumar 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.

When was this NPI record last updated?

The NPPES record for Atulkumar Shah was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.