DR. RAJESH M SHAH
NPI 1245206309
Internal Medicine - Pulmonary Disease in Baltimore, MD

Q: What is Rajesh Shah's NPI number?

The NPI number for Rajesh Shah is 1245206309. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Q: What is Rajesh Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Rajesh Shah was last updated on June 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment

94.17/100

CMS Quality Rating

821 N EUTAW ST, BALTIMORE, MD 21201(410) 669-1393 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Rajesh M Shah NPPES

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

DR. RAJESH M SHAH (NPI 1245206309) is an individual pulmonary disease provider in Baltimore, Maryland, licensed in Maryland (D62241) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1982).

NPPES Registry Identity

NPI1245206309

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. RAJESH M SHAH

Location Address821 N EUTAW STBaltimore, MD 21201-4648

Mailing Address821 N Eutaw St Ste 305Baltimore, MD 21201-6303 · (443) 321-2000

Phone(410) 669-1393

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateFebruary 27, 2006

Last NPPES UpdateJune 20, 2022

NPPES CertifiedJune 20, 2022

✔ NPI 1245206309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in MD · D62241✔ Licensed in MD · D062241

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedSpecialistTaxonomy 174400000X · License D62241 (MD)

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D62241 (MD)

821 N EUTAW ST, Baltimore, MD 21201

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Other Identifiers 1

Medicaid407744000MD

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rajesh M 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 ID5799684494

PECOS Enrollment IDI20050816001141

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.

Areas of Expertise CMS Part B claims 4

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.

73 services53 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

69 services12 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.

35 services35 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21201 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

$139.05 typical visit price

range $60.73 – $183.44

Typical copayment $34.76 (range $15.18 – $45.86)

Most-billed visit code 99204

Established Patient

$106.59 typical visit price

range $19.60 – $149.17

Typical copayment $26.64 (range $4.90 – $37.29)

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.

94.17/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.23

Improvement Activities

Cost

99.41

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

13 suppliers57 claims57 services$32.72 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

2 suppliers125 claims250 services$1.12 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

1 supplier52 claims52 services$0.51 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

2 suppliers43 claims43 services$1.19 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

11 suppliers37 claims37 services$77.67 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

7 suppliers25 claims65 services$28.93 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

12 suppliers65 claims302 services$15.31 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

7 suppliers20 claims98 services$12.15 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

14 suppliers100 claims100 services$42.95 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

15 suppliers68 claims68 services$15.04 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

11 suppliers65 claims65 services$10.57 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

15 suppliers145 claims813 services$1.86 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

12 suppliers50 claims50 services$5.46 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

14 suppliers57 claims57 services$11.48 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

7 suppliers52 claims56 services$13.36 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

3 suppliers16 claims16 services$10.94 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

2 suppliers49 claims49 services$3.16 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

9 suppliers104 claims109 services$24.04 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

9 suppliers175 claims178 services$67.65 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

7 suppliers121 claims121 services$33.84 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

3 suppliers32 claims1,920 services$5.32 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

2 suppliers106 claims6,450 services$6.79 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

2 suppliers99 claims16,666 services$0.03 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

5 suppliers98 claims6,120 services$0.77 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

1 supplier140 claims735,000 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers199 claims199 services$25.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

VIJAYALAKSHMI REDDY MD LLC

Internal Medicine

821 N EUTAW ST, STE 312
BALTIMORE, MD 21201

Baltimore City (410) 225-4455

JODI L BERG-GAITHER CRNP

Nurse Practitioner (Family)

821 N EUTAW ST, SUITE 405
BALTIMORE, MD 21201

Baltimore City (410) 225-8961

JAKE JOHN CARREON CORTES

Licensed Practical Nurse

821 N EUTAW ST
BALTIMORE, MD 21201

Baltimore City (410) 225-9185

MR. ODELL ARTTO SMITH JR. OPTICIAN

Technician/Technologist (Optician)

821 N EUTAW ST, SUITE 303
BALTIMORE, MD 21201

Baltimore City (443) 797-7754

TAYANNA GUNN

Licensed Practical Nurse

821 N EUTAW ST
BALTIMORE, MD 21201

Baltimore City (410) 225-9185

SHARON WHITE REGISTERED NURSE

Registered Nurse

821 N EUTAW ST
BALTIMORE, MD 21201

Baltimore City (410) 225-9185

TONI A VAUGHN

Registered Nurse (Addiction (Substance Use Disorder))

821 N EUTAW ST
BALTIMORE, MD 21201

Baltimore City (410) 225-9185

NEW AGE OPTICIANS

Eyewear Supplier

821 N EUTAW ST, SUITE 303
BALTIMORE, MD 21201

Baltimore City (443) 797-7754

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 Rajesh Shah's NPI number?

The NPI number for Rajesh Shah is 1245206309. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Rajesh Shah located?

Rajesh Shah practices at 821 N Eutaw St, Baltimore, MD 21201. The listed phone number is (410) 669-1393.

What is Rajesh Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rajesh Shah enrolled in Medicare?

Yes. Rajesh 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.

When was this NPI record last updated?

The NPPES record for Rajesh Shah was last updated on June 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.