PRAJWOL SHAH M.D.
NPI 1225655574
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since July 02, 2020PECOS EnrolledAccepts Medicare Assignment
827 LINDEN AVE, BALTIMORE, MD 21201(410) 225-8790 Get Directions Write a Review

NPPES record last updated: April 8, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 15, 2023, Apr 8, 2022, Jul 2, 2020 (3 updates tracked since 2020).

About Prajwol Shah M.d. NPPES

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

PRAJWOL SHAH M.D. (NPI 1225655574) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS, is affiliated with Western Maryland Regional Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1225655574
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePRAJWOL SHAHCredential: M.D.
Location Address827 LINDEN AVEBaltimore, MD 21201
Mailing Address827 Linden AveBaltimore, MD 21201 · (410) 225-8790
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 2, 2020
Last NPPES UpdateApril 8, 20223 updates tracked since enumeration
NPPES CertifiedApril 8, 2022
✔ NPI 1225655574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
827 LINDEN AVE, Baltimore, MD 21201

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

Prajwol 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 ID9931553534
PECOS Enrollment IDI20231002000662
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 Prajwol Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, Maryland enrollment
  • 104 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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
743 services225 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
140 services135 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
130 services127 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
45 services41 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.
37 services21 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210027
Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County
Emergency services Birthing friendly

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
827 LINDEN AVE
BALTIMORE, MD 21201
Nurse Practitioner (Adult Health)
827 LINDEN AVE
BALTIMORE, MD 21201
Registered Nurse
827 LINDEN AVE
BALTIMORE, MD 21201
Student in an Organized Health Care Education/Training Program
827 LINDEN AVE
BALTIMORE, MD 21201
Internal Medicine
827 LINDEN AVE
BALTIMORE, MD 21201
Internal Medicine (Gastroenterology)
827 LINDEN AVE
BALTIMORE, MD 21201
Internal Medicine
827 LINDEN AVE, BRIDGE SUITE C
BALTIMORE, MD 21201
Internal Medicine
827 LINDEN AVE, UNIVERSITY OF MARYLAND MEDICAL CENTER, MIDTOWN CAMPUS
BALTIMORE, MD 21201

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 Prajwol Shah's NPI number?

The NPI number for Prajwol Shah is 1225655574. It was assigned to this individual provider in the NPPES registry on July 2, 2020.

Where is Prajwol Shah located?

Prajwol Shah practices at 827 Linden Ave, Baltimore, MD 21201. The listed phone number is (410) 225-8790.

What is Prajwol Shah's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Prajwol Shah enrolled in Medicare?

Yes. Prajwol 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 organization bills Medicare for Prajwol Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prajwol Shah reassigns Medicare benefits to Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD). 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 Prajwol Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Prajwol Shah affiliated with any hospitals?

According to CMS data, Prajwol Shah is affiliated with Western Maryland Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Prajwol Shah was last updated on April 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.