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YOGESH SHAH MD
NPI 1265510465
Family Medicine in Des Moines, IA

Active since November 02, 2006PECOS EnrolledAccepts Medicare Assignment
88.63/100
CMS Quality Rating
1801 HICKMAN RD, DES MOINES, IA 50314(515) 282-5700(515) 282-5705 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Aug 2, 2017 (2 updates tracked since 2017).

About Yogesh Shah Md NPPES

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

YOGESH SHAH MD (NPI 1265510465) is an individual family medicine provider in Des Moines, Iowa, licensed in Iowa (29010) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1265510465
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameYOGESH SHAHCredential: MD
Location Address1801 HICKMAN RDDes Moines, IA 50314-1505
Mailing Address1801 Hickman RoadDes Moines, IA 50312-4104 · (515) 282-5700 · Fax (515) 282-5705
Phone(515) 282-5700
Fax(515) 282-5705
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1265510465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IA · 29010
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1801 HICKMAN RD, Des Moines, IA 50314
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Other Identifiers 5

Medicaid1265510465IA
OtherIA0148IA · John Deere
Medicaid6117812IA
Other25613IA · Wellmark Of Iowa
Other8809IA · Midlands Choice

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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

Yogesh 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 ID547325961
PECOS Enrollment IDI20090219000293
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.

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.
154 services88 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.
137 services102 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.
115 services115 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
50 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Unitypoint Health - Des Moines Iowa Methodist Medi

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160082
Location1200 Pleasant StreetDes Moines, IA 50309 · Polk County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Broadlawns Medical Center

Acute Care Hospitals · Des Moines, IA
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number160101
Location1801 Hickman RoadDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

88.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.38
Promoting Interoperability100
Improvement Activities40
Cost67.07

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.

MATTHEW HELMICK WILLIAMS D.O.
Family Medicine
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5640
ALEX YEONWOO KIM DO
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
CAMERON MATTHIAS GREINER DO
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
MARK DYKEN MD
Student in an Organized Health Care Education/Training Program
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2200
KELLI GREEN MD
Psychiatry & Neurology (Psychiatry)
1801 HICKMAN RD, BROADLAWNS MEDICAL CENTER
DES MOINES, IA 50314
Polk County (515) 282-2319
KATRINA COEN
Pharmacist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2378
NICOLE RENEE SLIVA OTR/L
Occupational Therapist
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-5621
GARY HUDSON PA-C
Physician Assistant
1801 HICKMAN RD
DES MOINES, IA 50314
Polk County (515) 282-2319

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 Yogesh Shah's NPI number?

The NPI number for Yogesh Shah is 1265510465. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Yogesh Shah located?

Yogesh Shah practices at 1801 Hickman Rd, Des Moines, IA 50314. The listed phone number is (515) 282-5700.

What is Yogesh Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Yogesh Shah enrolled in Medicare?

Yes. Yogesh 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 Yogesh Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Yogesh 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 Yogesh Shah affiliated with any hospitals?

According to CMS data, Yogesh Shah is affiliated with Unitypoint Health - Des Moines Iowa Methodist Medi, Mercyone Des Moines Medical Center and Broadlawns Medical Center.

When was this NPI record last updated?

The NPPES record for Yogesh Shah was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.