ANISH P SHAH DO
NPI 1265487375
Internal Medicine - Infectious Disease in Metairie, LA

Active since May 24, 2006PECOS EnrolledAccepts Medicare Assignment
4315 HOUMA BLVD STE 305, METAIRIE, LA 70006(504) 455-4622(504) 455-4688 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2026, May 10, 2024, Sep 15, 2022 and 1 more (4 updates tracked since 2022).

About Anish P Shah Do NPPES

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

ANISH P SHAH DO (NPI 1265487375) is an individual infectious disease provider in Metairie, Louisiana, licensed in Louisiana (DO.000006) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with North Oaks Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265487375
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameANISH P SHAHCredential: DO
Location Address4315 HOUMA BLVD STE 305Metairie, LA 70006-2944
Mailing Address4315 Houma Blvd Ste 305Metairie, LA 70006-2944 · (504) 455-4622 · Fax (504) 455-4688
Fax(504) 455-4688
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 11, 20264 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
NPI 1265487375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in LA · DO.000006 Licensed in LA · 000006 Licensed in TX · M7613
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License M7613 (TX)
Also ListedHospitalistTaxonomy 208M00000X · License M7613 (TX)
4315 HOUMA BLVD STE 305, Metairie, LA 70006

Secondary Practice Locations 2

Location 1800 E Dawson StTyler, TX 75701-2036 · Phone (903) 593-8441
Location 215813 Paul Vega Md Dr Ste 201AHammond, LA 70403-1431 · Phone (985) 230-5390 · Fax (985) 230-5391

Other Identifiers 7

Other000006LA · License
Medicaid186549506TX
Other1265487375LA · Npi
Medicaid186549505TX
Medicaid186549502TX
Medicaid186549504TX
Medicaid186549503TX

Accepted 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

Anish P Shah Do 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 ID2668480187
PECOS Enrollment IDI20060324000502
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
220 services103 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.
69 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
67 services66 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
36 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
29 services12 patients

Hospital Affiliations CMS Care Compare 2

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

North Oaks Medical Center

Acute Care Hospitals · Hammond, LA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190015
Location15790 Paul Vega MD DriveHammond, LA 70403 · Tangipahoa County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%171 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 3

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

Internal Medicine (Infectious Disease)
4315 HOUMA BLVD STE 305
METAIRIE, LA 70006
Specialist
4315 HOUMA BLVD STE 305
METAIRIE, LA 70006
Internal Medicine (Infectious Disease)
4315 HOUMA BLVD STE 305
METAIRIE, LA 70006

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 Anish Shah's NPI number?

The NPI number for Anish Shah is 1265487375. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Anish Shah located?

Anish Shah practices at 4315 Houma Blvd Ste 305, Metairie, LA 70006. The listed phone number is (504) 455-4622.

What is Anish Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Anish Shah enrolled in Medicare?

Yes. Anish 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 Anish Shah accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Texas and HMO Louisiana list Anish 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 Anish Shah affiliated with any hospitals?

According to CMS data, Anish Shah is affiliated with North Oaks Medical Center and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Anish Shah was last updated on March 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.