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ALPA SHAH MD
NPI 1255474862
Psychiatry & Neurology - Neurology in Carrollton, TX

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
4217 MARSH RIDGE RD, STE 120, CARROLLTON, TX 75010(972) 306-6300 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Alpa Shah Md NPPES

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

ALPA SHAH MD (NPI 1255474862) is an individual neurology provider in Carrollton, Texas, licensed in Texas (M2473) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1255474862
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameALPA SHAHCredential: MD
Location Address4217 MARSH RIDGE RD, STE 120Carrollton, TX 75010-4456
Mailing Address3709 Branchwood DrPlano, TX 75093-7931 · (972) 306-6300
Phone(972) 306-6300
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateFebruary 14, 2007
Last NPPES UpdateNovember 28, 2007
✔ NPI 1255474862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · M2473
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License M2473 (TX)
4217 MARSH RIDGE RD, Carrollton, TX 75010
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Other Identifiers 2

Medicare PIN8F6107TX
Other8AP800TX · 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

Alpa 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 ID6406942093
PECOS Enrollment IDI20071011000718
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

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.
24 services19 patients

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.

Referred Medical Equipment & Supplies CMS DME claims 13

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
9 suppliers60 claims60 services$33.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers50 claims50 services$76.03 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers43 claims119 services$29.83 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers13 claims77 services$16.90 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers14 claims79 services$12.78 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
8 suppliers31 claims31 services$48.01 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.

KIRAN SHAH MD
Psychiatry & Neurology (Neurology)
4217 MARSH RIDGE RD, SUITE 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 Alpa Shah's NPI number?

The NPI number for Alpa Shah is 1255474862. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Alpa Shah located?

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

What is Alpa Shah's specialty?

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

Is Alpa Shah enrolled in Medicare?

Yes. Alpa 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 Alpa 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 Alpa 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 Alpa 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.