ROSHAN P SHAH MD
NPI 1245438928
Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery in New York, NY

Active since July 05, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE, 2ND FLOOR, NEW YORK, NY 10032(212) 305-4626(212) 305-6193 Get Directions Write a Review

NPPES record last updated: April 9, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2023, Apr 2, 2023 (2 updates tracked since 2023).

About Roshan P Shah Md NPPES

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

ROSHAN P SHAH MD (NPI 1245438928) is an individual adult reconstructive orthopaedic surgery provider in New York, New York, licensed in New York (276552) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Yale University School Of Medicine (2007).

NPPES Registry Identity

NPI1245438928
Entity TypeIndividualMale
Primary Taxonomy207XS0114X
Provider Legal NameROSHAN P SHAHCredential: MD
Location Address161 FORT WASHINGTON AVE, 2ND FLOORNew York, NY 10032-3729
Mailing Address622 W 168th St, Ph-11New York, NY 10032-3720 · (212) 305-4626 · Fax (212) 305-6193
Fax(212) 305-6193
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2007
Enumeration DateJuly 5, 2007
Last NPPES UpdateApril 9, 20232 updates tracked since enumeration
NPPES CertifiedApril 9, 2023
NPI 1245438928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0114X
Licenses Licensed in NY · 276552 Licensed in IL · 036132317
Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MT191034 (PA)
161 FORT WASHINGTON AVE, New York, NY 10032

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

Roshan P 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 ID3577704956
PECOS Enrollment IDI20141001001685, I20151023000555
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 10

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.
442 services347 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.
200 services200 patients
Computer-assisted surgery for muscle and bone procedure 20985
Computer-assisted surgery for muscle and bone procedures involves using a computer to aid in planning and performing surgery. This technology helps increase precision, reduce invasiveness, and improve outcomes. It's commonly used in orthopedic surgeries like joint replacements.
174 services158 patients
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.
132 services132 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
122 services108 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
77 services75 patients

Hospital Affiliations CMS Care Compare 4

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers78 claims78 services$38.94 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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine
161 FORT WASHINGTON AVE, SUITE 3-312
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
161 FORT WASHINGTON AVE, NINTH FLOOR
NEW YORK, NY 10032
Internal Medicine (Cardiovascular Disease)
161 FORT WASHINGTON AVE, SUITE 546
NEW YORK, NY 10032
Obstetrics & Gynecology (Maternal & Fetal Medicine)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Obstetrics & Gynecology (Maternal & Fetal Medicine)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032
Obstetrics & Gynecology (Gynecology)
161 FORT WASHINGTON AVE
NEW YORK, NY 10032

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 Roshan Shah's NPI number?

The NPI number for Roshan Shah is 1245438928. It was assigned to this individual provider in the NPPES registry on July 5, 2007.

Where is Roshan Shah located?

Roshan Shah practices at 161 Fort Washington Ave 2nd Floor, New York, NY 10032. The listed phone number is (212) 305-4626.

What is Roshan Shah's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Adult Reconstructive Orthopaedic Surgery, with taxonomy code 207XS0114X.

Is Roshan Shah enrolled in Medicare?

Yes. Roshan 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 Roshan Shah affiliated with any hospitals?

According to CMS data, Roshan Shah is affiliated with Englewood Hospital And Medical Center, New York-Presbyterian Hospital, Nyu Langone Hospitals and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Roshan Shah was last updated on April 9, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.