DR. ABID SHAH MD
NPI 1245227222
Emergency Medicine in Henderson, NC

Active since October 04, 2005PECOS Enrolled
92.89/100
CMS Quality Rating
566 RUIN CREEK RD, HENDERSON, NC 27536(252) 436-1162 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Abid Shah Md NPPES

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

DR. ABID SHAH MD (NPI 1245227222) is an individual emergency medicine provider in Henderson, North Carolina and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245227222
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ABID SHAHCredential: MD
Location Address566 RUIN CREEK RDHenderson, NC 27536-2927
Mailing Address9121 Riverview Park DrRaleigh, NC 27613-5385 · (919) 624-9621
Sole ProprietorYes
Enumeration DateOctober 4, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1245227222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
566 RUIN CREEK RD, Henderson, NC 27536

Other Identifiers 1

Medicare UPING79018

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Abid Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

6

Medicare enrollment records show Abid Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
566 RUIN CREEK RD
Henderson, NC 27536
  • Reassigned Medicare billing, North Carolina enrollment
  • 83 clinicians in this Medicare group
Emergency Medicine
100 HOSPITAL DR
Louisburg, NC 27549
  • Reassigned Medicare billing, North Carolina enrollment
  • 76 clinicians in this Medicare group
Urgent Care
210 A SMITH CHURCH ROAD
Roanoke Rapids, NC 27870
  • Reassigned Medicare billing, North Carolina enrollment
  • 19 clinicians in this Medicare group
Emergency Medicine
117 E KINGS HWY
Eden, NC 27288
  • Reassigned Medicare billing, North Carolina enrollment
  • 53 clinicians in this Medicare group
Emergency Medicine
207 OLD LEXINGTON RD
Thomasville, NC 27360
  • Reassigned Medicare billing, North Carolina enrollment
  • 152 clinicians in this Medicare group
Family Medicine
435 2ND ST
Newport, TN 37821
  • Reassigned Medicare billing, North Carolina enrollment
  • 557 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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
83 services82 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
77 services75 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
22 services20 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27536 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
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.

92.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.25
Improvement Activities40

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.

Rehabilitation Hospital
566 RUIN CREEK RD
HENDERSON, NC 27536
Internal Medicine
566 RUIN CREEK RD
HENDERSON, NC 27536
Radiology (Radiation Oncology)
566 RUIN CREEK RD
HENDERSON, NC 27536
Physician Assistant
566 RUIN CREEK RD
HENDERSON, NC 27536
Internal Medicine
566 RUIN CREEK RD
HENDERSON, NC 27536
Surgery (Vascular Surgery)
566 RUIN CREEK RD
HENDERSON, NC 27536
Rehabilitation Unit
566 RUIN CREEK RD
HENDERSON, NC 27536
Internal Medicine
566 RUIN CREEK RD
HENDERSON, NC 27536

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 Abid Shah's NPI number?

The NPI number for Abid Shah is 1245227222. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Abid Shah located?

Abid Shah practices at 566 Ruin Creek Rd, Henderson, NC 27536. The listed phone number is (252) 436-1162.

What is Abid Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Abid Shah enrolled in Medicare?

Yes. Abid Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Abid Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Abid Shah reassigns Medicare benefits to 6 organizations: Bull City Physicians, PLLC (Henderson, NC), Gem Capital Physicians, PLLC (Louisburg, NC), Halifax Regional Medical Center Inc (Roanoke Rapids, NC), Nc Emergency Physician Services, PLLC (Eden, NC), Piedmont Triad Physicians, PLLC (Thomasville, NC) and 1 more organization, listed in the Medicare section above. 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 Abid Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Abid Shah accept?

Health plans from Oscar Health, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Abid 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.

When was this NPI record last updated?

The NPPES record for Abid Shah was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.