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MUKESH S SHAH M.D
NPI 1265620124
Internal Medicine - Hematology & Oncology in Rochester, MI

Active since October 04, 2007PECOS Enrolled
100/100
CMS Quality Rating
1135 W UNIVERSITY DR, STE 175, ROCHESTER, MI 48307(248) 656-4900(248) 656-5060 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mukesh S Shah M.d NPPES

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

MUKESH S SHAH M.D (NPI 1265620124) is an individual hematology & oncology provider in Rochester, Michigan, licensed in Michigan (MS048939) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265620124
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameMUKESH S SHAHCredential: M.D
Location Address1135 W UNIVERSITY DR, STE 175Rochester, MI 48307-1871
Mailing Address1135 W University Dr, Ste 175Rochester, MI 48307-1871 · (248) 656-4900 · Fax (248) 656-5060
Phone(248) 656-4900
Fax(248) 656-5060
Sole ProprietorYes
Enumeration DateOctober 4, 2007
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1265620124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in MI · MS048939
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1135 W UNIVERSITY DR, Rochester, MI 48307
Open in Google Maps ↗

Other Identifiers 5

Medicare UPINA76026MI
Medicaid188902310MI
Medicare PIN0632517MI
Other0632517MI · Blue Cross Blue Shield
Other11312AMI · Hap

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mukesh S 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.

Medicare Billing Reassignment

Medicare enrollment records show Mukesh Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oakland Macomb Cancer Specialists, PC
3.7 mi
Hematology & Oncology
3950 S ROCHESTER RD STE 1400
Rochester Hills, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1396364329 (248) 494-4444

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
11,550 services15 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,180 services52 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
230 services80 patients
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.
181 services109 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.
98 services31 patients
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.
37 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
100%164 patients5/55-star benchmark: 93%
Colorectal Cancer Screening
100%253 patients5/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
100%1,745 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%563 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%557 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 100% · 318 patients
Patients screened: 100% · 332 patients
100%23 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 418 patients
0%418 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 20

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

DR. KRISTINE O. RUDOLF M.D.
Family Medicine
1135 W UNIVERSITY DR, SUITE 250
ROCHESTER HILLS, MI 48307
Oakland County (248) 453-0194
MICHAEL W LAKER M.D.
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
1135 W UNIVERSITY DR, SUITE 450
ROCHESTER, MI 48307
Oakland County (248) 650-2400
JINPING XU MD MS
Family Medicine
1135 W UNIVERSITY DR, STE 250
ROCHESTER, MI 48307
Oakland County (248) 650-6301
DR. BARTOL BIOCIC M.D.
Obstetrics & Gynecology
1135 W UNIVERSITY DR, SUITE 300
ROCHESTER, MI 48307
Oakland County (248) 652-3050
NEUROHEALTH ASSOCIATES PLC
Psychiatry & Neurology (Psychiatry)
1135 W UNIVERSITY DR, SUITE 410
ROCHESTER, MI 48307
Oakland County (248) 656-0011
JEFFREY L & CHARLES J WEINGARTEN MD PC
Urology
1135 W UNIVERSITY DR, SUITE 210
ROCHESTER HILLS, MI 48307
Oakland County (248) 650-4660
BARTOL BIOCIC M.D. PC
Obstetrics & Gynecology
1135 W UNIVERSITY DR, SUITE 300
ROCHESTER, MI 48307
Oakland County (248) 652-3050
MRS. JILL MARIE DIENES PT
Physical Therapist
1135 W UNIVERSITY DR, SUITE 450
ROCHESTER HILLS, MI 48307
Oakland County (248) 650-2400

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 Mukesh Shah's NPI number?

The NPI number for Mukesh Shah is 1265620124. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Mukesh Shah located?

Mukesh Shah practices at 1135 W University Dr Ste 175, Rochester, MI 48307. The listed phone number is (248) 656-4900.

What is Mukesh Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Mukesh Shah enrolled in Medicare?

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

Which organization bills Medicare for Mukesh Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mukesh Shah reassigns Medicare benefits to Oakland Macomb Cancer Specialists, PC (Rochester Hills, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mukesh Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mukesh Shah was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.