DHRUMIL M SHAH M.D.
NPI 1194985846
Family Medicine in Norwood, MA

Active since June 16, 2008PECOS EnrolledAccepts Medicare Assignment
1177 BOSTON PROVIDENCE TPKE, NORWOOD, MA 02062(781) 278-5540(781) 762-7623 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dhrumil M Shah M.d. NPPES

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

DHRUMIL M SHAH M.D. (NPI 1194985846) is an individual family medicine provider in Norwood, Massachusetts, licensed in Massachusetts (235527) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194985846
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDHRUMIL M SHAHCredential: M.D.
Location Address1177 BOSTON PROVIDENCE TPKENorwood, MA 02062-5019
Mailing Address1177 Boston Providence TpkeNorwood, MA 02062-5019 · (781) 278-5540 · Fax (781) 762-7623
Fax(781) 762-7623
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 16, 2008
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1194985846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 235527
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1177 BOSTON PROVIDENCE TPKE, Norwood, MA 02062

Other Identifiers 1

Medicaid2155516MA

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

Dhrumil M 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 ID5395812606
PECOS Enrollment IDI20080927000161
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

3

Medicare enrollment records show Dhrumil Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1177 PROVIDENCE HIGHWAY, ROUTE 1
Norwood, MA 02062
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
Internal Medicine
500 BOYLSTON ST
Boston, MA 02116
  • Reassigned Medicare billing, Massachusetts enrollment
  • 138 clinicians in this Medicare group
General Practice
362 N BEDFORD ST
East Bridgewater, MA 02333
  • Reassigned Medicare billing, Massachusetts enrollment
  • 111 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 35

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
223 services136 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.
213 services114 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
103 services98 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.
99 services83 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
81 services66 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
72 services72 patients

Hospital Affiliations CMS Care Compare 4

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

Beth Israel Deaconess Medical Center

Acute Care Hospitals · Boston, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220086
Location330 Brookline AvenueBoston, MA 02215 · Suffolk County
Emergency services Birthing friendly

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02062 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

Internal Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Family Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Physician Assistant
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Nurse Practitioner (Family)
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Internal Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Family Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Internal Medicine
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062
Advanced Practice Midwife
1177 BOSTON PROVIDENCE TPKE
NORWOOD, MA 02062

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 Dhrumil Shah's NPI number?

The NPI number for Dhrumil Shah is 1194985846. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Dhrumil Shah located?

Dhrumil Shah practices at 1177 Boston Providence Tpke, Norwood, MA 02062. The listed phone number is (781) 278-5540.

What is Dhrumil Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dhrumil Shah enrolled in Medicare?

Yes. Dhrumil 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 Dhrumil Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhrumil Shah reassigns Medicare benefits to 3 organizations: Atrius Health, Inc. (Norwood, MA), Steward Medical Group, Inc (Boston, MA) and Compass Medical PC (East Bridgewater, MA). 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 Dhrumil Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhrumil Shah accept?

Health plans from Anthem Blue Cross and Blue Shield list Dhrumil 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 Dhrumil Shah affiliated with any hospitals?

According to CMS data, Dhrumil Shah is affiliated with Beth Israel Deaconess Medical Center, South Shore Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Dhrumil Shah was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.