DR. SANJAY GUNVANTLAL SHAH MD
NPI 1245261650
Internal Medicine - Cardiovascular Disease in Chesapeake, VA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
713 VOLVO PKWY STE 200, CHESAPEAKE, VA 23320(757) 282-4150 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sanjay Gunvantlal Shah Md NPPES

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

DR. SANJAY GUNVANTLAL SHAH MD (NPI 1245261650) is an individual cardiovascular disease provider in Chesapeake, Virginia, licensed in Virginia (0101052810) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Albemarle Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1245261650
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SANJAY GUNVANTLAL SHAHCredential: MD
Location Address713 VOLVO PKWY STE 200Chesapeake, VA 23320-1614
Mailing Address713 Volvo Pkwy Ste 200Chesapeake, VA 23320-1614 · (757) 282-4150
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 18, 2024
NPPES CertifiedApril 18, 2024
NPI 1245261650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in VA · 0101052810
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
713 VOLVO PKWY STE 200, Chesapeake, VA 23320

Other Identifiers 19

Other269859VA · Anthem
OtherPARVA · Aetna
Other-001VA · Tricare/champus
Medicaid010226562VA
Other10015733VA · Sentara Optima
OtherPARVA · Multiplan
OtherPARVA · Virginia Premier Health
Other441762VA · Mamsi
Other187096VA · Anthem Bc/bs
Medicaid7906232NC
OtherPARVA · Corvel/corcare
OtherPARVA · Usa Managed Care
OtherPARVA · Virginia Health Network
OtherPARVA · First Health Commercial/southern Health/coventry
Other06232NC · Bc/bs
Medicaid1245261650VA
OtherPARVA · Cigna
Other35167VA · Optima Health Plan
Other641762VA · Uhc/mamsi

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. Sanjay Gunvantlal Shah Md 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 ID5991727992
PECOS Enrollment IDI20051219000594
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 38

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
1,025 services1,015 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
361 services360 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
346 services345 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.
288 services274 patients
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.
285 services212 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.
280 services259 patients

Hospital Affiliations CMS Care Compare 5

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

Sentara Albemarle Medical Center

Acute Care Hospitals · Elizabeth City, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340109
Location1144 N Road StElizabeth City, NC 27909 · Pasquotank County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Sentara Princess Anne Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490119
Location2025 Glenn Mitchell DriveVirginia Beach, VA 23456 · Virginia Beach City County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23320 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Interventional Cardiology)
713 VOLVO PKWY STE 200
CHESAPEAKE, VA 23320
Physician Assistant
713 VOLVO PKWY STE 200
CHESAPEAKE, VA 23320
Internal Medicine (Clinical Cardiac Electrophysiology)
713 VOLVO PKWY STE 200
CHESAPEAKE, VA 23320
Internal Medicine (Cardiovascular Disease)
713 VOLVO PKWY STE 200
CHESAPEAKE, VA 23320
Internal Medicine (Cardiovascular Disease)
713 VOLVO PKWY STE 200
CHESAPEAKE, VA 23320

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 Sanjay Shah's NPI number?

The NPI number for Sanjay Shah is 1245261650. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Sanjay Shah located?

Sanjay Shah practices at 713 Volvo Pkwy Ste 200, Chesapeake, VA 23320. The listed phone number is (757) 282-4150.

What is Sanjay Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sanjay Shah enrolled in Medicare?

Yes. Sanjay 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.

Is Sanjay Shah affiliated with any hospitals?

According to CMS data, Sanjay Shah is affiliated with Sentara Albemarle Medical Center, Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Sentara Princess Anne Hospital.

When was this NPI record last updated?

The NPPES record for Sanjay Shah was last updated on April 18, 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.