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CHIRAG A SHAH
NPI 1235248360
Obstetrics & Gynecology - Gynecologic Oncology in Seattle, WA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
1101 MADISON ST, STE 1500, SEATTLE, WA 98104(206) 965-1700 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chirag A Shah NPPES

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

CHIRAG A SHAH (NPI 1235248360) is an individual gynecologic oncology provider in Seattle, Washington, licensed in Washington (ML20007285) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Confluence Health Hospital, and is a graduate of Indiana University School Of Medicine (2002).

NPPES Registry Identity

NPI1235248360
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameCHIRAG A SHAH
Location Address1101 MADISON ST, STE 1500Seattle, WA 98104-1306
Mailing Address1101 Madison St, Ste 1500Seattle, WA 98104-1306 · (206) 965-1700
Phone(206) 965-1700
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2002
Enumeration DateAugust 30, 2006
Last NPPES UpdateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
✔ NPI 1235248360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in WA · ML20007285
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
1101 MADISON ST, Seattle, WA 98104
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Chirag A Shah 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 ID5092850453
PECOS Enrollment IDI20100310000167
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 Chirag Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Swedish Health Services
0.4 mi
Internal Medicine
800 5TH AVE, STE 600
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 1,270 clinicians in this Medicare group
NPI 1689612954 (206) 320-2700
Providence Health & Services- Washington
17 mi
Family Medicine
16708 BOTHELL-EVERETT HIGHWAY, SUITE 201
Mill Creek, WA 98012
  • Reassigned Medicare billing, Washington enrollment
  • 705 clinicians in this Medicare group
NPI 1790014504 (425) 482-9020

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 8

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.

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.
64 services64 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
57 services32 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.
42 services21 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
41 services26 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.
39 services20 patients
Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less 58571
This procedure involves the removal of certain internal structures through small incisions in the abdomen, using a special tool called an endoscope. It's performed when these structures are causing health issues. The weight reference (250.0 g or less) relates to the size of the structures being removed.
21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Confluence Health Hospital

Acute Care Hospitals · Wenatchee, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500016
Location1201 S Miller StreetWenatchee, WA 98807 · Chelan County
Emergency services Birthing friendly

Swedish Medical Center / Cherry Hill

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500025
Location500 17th AvenueSeattle, WA 98122 · King County
Emergency services

Swedish Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500027
Location747 BroadwaySeattle, WA 98122 · King County
Emergency services Birthing friendly

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Kittitas Valley Community Hospital

Critical Access Hospitals · Ellensburg, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501333
Location603 South ChestnutEllensburg, WA 98926 · Kittitas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$189.37 typical visit price
range $63.67 – $189.37
Typical copayment $47.34 (range $15.91 – $47.34)
Most-billed visit code 99205
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Cyclophosphamide; oral, 25 mg J8530
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier15 claims900 services$0.64 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 supplier15 claims15 services$18.98 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 20

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

KAREN L. BOHMKE MD
Obstetrics & Gynecology
1101 MADISON ST, #1150
SEATTLE, WA 98104
King County (206) 386-3400
DR. TED M ZOLLMAN MD
Ophthalmology
1101 MADISON ST, STE. 600
SEATTLE, WA 98104
King County (206) 215-2020
PETER S HESSLEIN MD
Pediatrics (Pediatric Cardiology)
1101 MADISON ST, STE 800
SEATTLE, WA 98104
King County (206) 215-2700
MRS. DESIREE ROSE CONNELLY CNM
Midwife
1101 MADISON ST, SUITE 950
SEATTLE, WA 98104
King County (206) 988-2080
MARY A. WEMPLE M.D.
Internal Medicine (Rheumatology)
1101 MADISON ST, SUITE 301
SEATTLE, WA 98104
King County (206) 505-1101
ERIC BRANDON PONG MD
Surgery
1101 MADISON ST
SEATTLE, WA 98104
King County (253) 363-7493
STEVEN STANOS JR. DO
Physical Medicine & Rehabilitation (Pain Medicine)
1101 MADISON ST, SUITE 200
SEATTLE, WA 98104
King County (206) 386-2013
AESTHETIC ASSOCIATES INC P S
Clinic/Center (Ambulatory Surgical)
1101 MADISON ST, SUITE 1280
SEATTLE, WA 98104
King County (206) 624-6200

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 Chirag Shah's NPI number?

The NPI number for Chirag Shah is 1235248360. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Chirag Shah located?

Chirag Shah practices at 1101 Madison St Ste 1500, Seattle, WA 98104. The listed phone number is (206) 965-1700.

What is Chirag Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Chirag Shah enrolled in Medicare?

Yes. Chirag 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 Chirag Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chirag Shah reassigns Medicare benefits to 2 organizations: Swedish Health Services (Seattle, WA) and Providence Health & Services- Washington (Mill Creek, WA). 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 Chirag Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chirag Shah accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Chirag 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 Chirag Shah affiliated with any hospitals?

According to CMS data, Chirag Shah is affiliated with Confluence Health Hospital, Swedish Medical Center / Cherry Hill, Swedish Medical Center, Swedish Issaquah and Kittitas Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Chirag Shah was last updated on March 24, 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.