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DR. MUHAMMAD SHAH ALAM M.D.
NPI 1194731224
Internal Medicine - Nephrology in Shelby, NC

Active since July 31, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1019 N LAFAYETTE ST, SUITE 1, SHELBY, NC 28150(704) 487-9766(704) 487-9891 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Muhammad Shah Alam M.d. NPPES

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

DR. MUHAMMAD SHAH ALAM M.D. (NPI 1194731224) is an individual nephrology provider in Shelby, North Carolina, licensed in North Carolina (200401162) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Rutherford Regional Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1194731224
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. MUHAMMAD SHAH ALAMCredential: M.D.
Location Address1019 N LAFAYETTE ST, SUITE 1Shelby, NC 28150-3834
Mailing Address1019 N Lafayette St, Suite 1Shelby, NC 28150-3834 · (704) 487-9766 · Fax (704) 487-9891
Phone(704) 487-9766
Fax(704) 487-9891
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 12, 2021
NPPES CertifiedJuly 12, 2021
✔ NPI 1194731224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NC · 200401162
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1019 N LAFAYETTE ST, Shelby, NC 28150
Open in Google Maps ↗

Other Identifiers 7

Other138FJBcbs
Other4536783Cigna
Other0114QBcbs Group
Medicaid89138FJNC
Other561884447Group
Medicaid890114QNC
Other2262394United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Dr. Muhammad Shah Alam 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 ID8628037546
PECOS Enrollment IDI20041006001285
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 Reassignment

Medicare enrollment records show Muhammad Alam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nephrology Associates Of The Carolinas, P.A.
Same address
Nephrology
1019 N LAFAYETTE ST, SUITE 1
Shelby, NC 28150
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Nephrology Associates Of The Carolinas PA
  • 14 clinicians in this Medicare group
NPI 1598779803 (704) 487-9766

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 11

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,301 services195 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.
633 services398 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.
478 services133 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
229 services52 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
94 services83 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
86 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Rutherford Regional Medical Center

Acute Care Hospitals · Rutherfordton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340013
Location288 South Ridgecrest AveRutherfordton, NC 28139 · Rutherford County
Emergency services Birthing friendly

Atrium Health Cleveland

Acute Care Hospitals · Shelby, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340021
Location201 E Grover StShelby, NC 28150 · Cleveland County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28150 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier39 claims3,993 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier28 claims3,375 services$0.01 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier46 claims7,440 services$0.96 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier46 claims46 services$18.53 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier66 claims66 services$12.25 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 8

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

NAJLA AHMED MD
Pediatrics (Adolescent Medicine)
1019 N LAFAYETTE ST
SHELBY, NC 28150
Cleveland County (704) 482-8282
BRIANNA COOK FNP
Nurse Practitioner (Family)
1019 N LAFAYETTE ST
SHELBY, NC 28150
Cleveland County (704) 487-9766
DR. SYED JAWED AHMED M.D.
Internal Medicine (Nephrology)
1019 N LAFAYETTE ST, SUITE 1
SHELBY, NC 28150
Cleveland County (704) 487-9766
NEPHROLOGY ASSOCIATES OF THE CAROLINAS, P.A.
Internal Medicine (Nephrology)
1019 N LAFAYETTE ST, SUITE 1
SHELBY, NC 28150
Cleveland County (704) 487-9766
HALEY JENELLE ANGEL NP
Nurse Practitioner (Family)
1019 N LAFAYETTE ST
SHELBY, NC 28150
Cleveland County (704) 482-8282
MR. JIMMY LEE JONES ANP
Nurse Practitioner
1019 N LAFAYETTE ST, SUITE 1
SHELBY, NC 28150
Cleveland County (704) 487-9766
PEDIATRIC ASSOCIATES OF CLEVELAND COUNTY P.C.
Pediatrics
1019 N LAFAYETTE ST, SUITE 2
SHELBY, NC 28150
Cleveland County (704) 482-8282
GASTON FAMILY HEALTH SERVICES, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1019 N LAFAYETTE ST
SHELBY, NC 28150
Cleveland County (704) 482-8282

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 Muhammad Alam's NPI number?

The NPI number for Muhammad Alam is 1194731224. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Muhammad Alam located?

Muhammad Alam practices at 1019 N Lafayette St Suite 1, Shelby, NC 28150. The listed phone number is (704) 487-9766.

What is Muhammad Alam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Muhammad Alam enrolled in Medicare?

Yes. Muhammad Alam 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 organization bills Medicare for Muhammad Alam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Muhammad Alam reassigns Medicare benefits to Nephrology Associates Of The Carolinas, P.A. (Shelby, NC). The 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 Muhammad Alam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Muhammad Alam accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, AmeriHealth Caritas Next and UnitedHealthcare list Muhammad Alam 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 Muhammad Alam affiliated with any hospitals?

According to CMS data, Muhammad Alam is affiliated with Rutherford Regional Medical Center, Atrium Health Cleveland and Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Muhammad Alam was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.