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KIRAN SHAH MD
NPI 1255374302
Psychiatry & Neurology - Neurology in Carrollton, TX

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.86/100
CMS Quality Rating
4217 MARSH RIDGE RD, SUITE 120, CARROLLTON, TX 75010(972) 306-6300(972) 306-6500 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kiran Shah Md NPPES

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

KIRAN SHAH MD (NPI 1255374302) is an individual neurology provider in Carrollton, Texas, licensed in Texas (K1058) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Plano, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1255374302
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameKIRAN SHAHCredential: MD
Location Address4217 MARSH RIDGE RD, SUITE 120Carrollton, TX 75010
Mailing Address4217 Marsh Ridge Rd, Suite 120Carrollton, TX 75010 · (972) 306-6300 · Fax (972) 306-6500
Phone(972) 306-6300
Fax(972) 306-6500
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 28, 2007
✔ NPI 1255374302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · K1058
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
4217 MARSH RIDGE RD, Carrollton, TX 75010
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Other Identifiers 5

Medicare PIN0021CFTX
Medicare UPING27132TX
Medicare PIN8F6108TX
Other0021CFTX · Bc/bs
Other8AP801TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Kiran 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 ID6305831561
PECOS Enrollment IDI20040416001241
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 11

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.
876 services451 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.
156 services156 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
43 services41 patients
Measurement of brain wave activity (eeg), 41-60 minutes 95812
This procedure involves placing small sensors on your head to record your brain's electrical activity for 41-60 minutes. Known as an EEG, it helps doctors understand how your brain works, assisting in diagnosing conditions like epilepsy or sleep disorders.
39 services39 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
37 services37 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
32 services18 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Presbyterian Hospital Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75010 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

95.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.72
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%711 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%3,019 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
99%685 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%1,559 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 97% · 946 patients
Patients screened: 97% · 946 patients
100%74 patients5/55-star benchmark: 100%
Sleep Apnea: Assessment of Adherence to Positive Airway Pressure Therapy
100%254 patients
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 16

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
18 suppliers345 claims345 services$31.78 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
15 suppliers225 claims225 services$75.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
14 suppliers211 claims577 services$29.50 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
13 suppliers127 claims717 services$16.53 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers74 claims389 services$13.38 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 suppliers215 claims215 services$47.93 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 2

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

ALPA SHAH MD
Psychiatry & Neurology (Neurology)
4217 MARSH RIDGE RD, STE 120
CARROLLTON, TX 75010
Denton County (972) 306-6300
KIRAN P SHAH, MD, PA
Psychiatry & Neurology (Neurology)
4217 MARSH RIDGE RD, SUITE 120
CARROLLTON, TX 75010
Denton County (972) 306-6300

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 Kiran Shah's NPI number?

The NPI number for Kiran Shah is 1255374302. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Kiran Shah located?

Kiran Shah practices at 4217 Marsh Ridge Rd Suite 120, Carrollton, TX 75010. The listed phone number is (972) 306-6300.

What is Kiran Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Kiran Shah enrolled in Medicare?

Yes. Kiran 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.

What insurance does Kiran Shah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Kiran 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 Kiran Shah affiliated with any hospitals?

According to CMS data, Kiran Shah is affiliated with Texas Health Presbyterian Hospital Plano.

When was this NPI record last updated?

The NPPES record for Kiran Shah was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.