1. Home
  2. Directory
  3. Texas
  4. Austin
  5. Pediatrics
  6. NPI Profile

MS. TORAL D SHAH M.D.
NPI 1255395000
Pediatrics in Austin, TX

Active since April 17, 2006PECOS Enrolled
11111 RESEARCH BLVD STE 230, AUSTIN, TX 78759(877) 800-5722(512) 605-6396 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 26, 2021, Aug 31, 2017 (2 updates tracked since 2017).

About Ms. Toral D Shah M.d. NPPES

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

MS. TORAL D SHAH M.D. (NPI 1255395000) is an individual pediatrics provider in Austin, Texas, licensed in Texas (K8836) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255395000
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMS. TORAL D SHAHCredential: M.D.
Location Address11111 RESEARCH BLVD STE 230Austin, TX 78759-5791
Mailing Address2423 Williams Dr Ste 107Georgetown, TX 78628-3269 · (877) 800-5722
Phone(877) 800-5722
Fax(512) 605-6396
Sole ProprietorNo
Enumeration DateApril 17, 2006
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1255395000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · K8836
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency MedicineTaxonomy 207P00000X · License K8836 (TX)
Also ListedEmergency Medicine · Emergency Medical ServicesTaxonomy 207PE0004X · License K8836 (TX)
11111 RESEARCH BLVD STE 230, Austin, TX 78759
Open in Google Maps ↗

Other Identifiers 1

Medicaid038515503TX

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 (PECOS)

Ms. Toral D Shah M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78759 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
$89.03 typical visit price
range $57.88 – $174.00
Typical copayment $22.25 (range $14.47 – $43.50)
Most-billed visit code 99203
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

Other Providers at the Same Location NPPES

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

MRS. TRUETT BARRON CLIFTON WHNP
Nurse Practitioner (Women's Health)
11111 RESEARCH BLVD STE 230
AUSTIN, TX 78759
Travis County (877) 800-5722

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 Toral Shah's NPI number?

The NPI number for Toral Shah is 1255395000. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Toral Shah located?

Toral Shah practices at 11111 Research Blvd Ste 230, Austin, TX 78759. The listed phone number is (877) 800-5722.

What is Toral Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Toral Shah enrolled in Medicare?

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

What insurance does Toral Shah accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Toral 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 Toral Shah was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.