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KASHYAPKUMAR SHAH M.D
NPI 1265840805
Internal Medicine in New York, NY

Active since July 28, 2014PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
506 LENOX AVE, ROOM 12117, NEW YORK, NY 10037(212) 939-1641 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kashyapkumar Shah M.d NPPES

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

KASHYAPKUMAR SHAH M.D (NPI 1265840805) is an individual internal medicine provider in New York, New York, licensed in Delaware (C1-0012535) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1265840805
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKASHYAPKUMAR SHAHCredential: M.D
Location Address506 LENOX AVE, ROOM 12117New York, NY 10037-1802
Mailing Address506 Lenox Ave Rm 12117New York, NY 10037-1802 · (212) 939-1641
Phone(212) 939-1641
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 28, 2014
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1265840805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in DE · C1-0012535✔ Licensed in MD · D0104272
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
506 LENOX AVE, New York, NY 10037
Open in Google Maps ↗

Secondary Practice Location 1

Location 14755 Ogletown Stanton Rd Ste 5A43Newark, DE 19718-2200 · Phone (302) 623-0188 · Fax (302) 733-5640

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

Kashyapkumar Shah M.d 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 ID3173887718
PECOS Enrollment IDI20180507000374, I20251124004047
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.
301 services169 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.
278 services132 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
154 services56 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.
139 services134 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
136 services129 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10037 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.02
Improvement Activities40
Cost52.25

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers19 claims19 services$16.29 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$82.66 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 20

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

DR. CYRIL VARGHESE M.D.
Radiology (Diagnostic Radiology)
506 LENOX AVE
NEW YORK, NY 10037
New York County (844) 692-4692
DR. EMIN ELEZI M.D.
Emergency Medicine
506 LENOX AVE, SUITE 2-105
NEW YORK, NY 10037
New York County (212) 939-2251
MR. MICHAEL NUNOO R.N.
Registered Nurse
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-1000
MR. ANTONY JOSEPH PATHINANGIL M.D.
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-1406
CHRISTINA ENG M.D.
Emergency Medicine
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-1840
PHYSICIAN AFFILIATE GROUP OF NEW YORK PC
Dietitian, Registered
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-2467
YAZAN ALJABAWI MBBS
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-2291
WINNIE MUKIRI GIKUNDA
Student in an Organized Health Care Education/Training Program
506 LENOX AVE
NEW YORK, NY 10037
New York County (212) 939-8615

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 Kashyapkumar Shah's NPI number?

The NPI number for Kashyapkumar Shah is 1265840805. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Where is Kashyapkumar Shah located?

Kashyapkumar Shah practices at 506 Lenox Ave Room 12117, New York, NY 10037. The listed phone number is (212) 939-1641.

What is Kashyapkumar Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kashyapkumar Shah enrolled in Medicare?

Yes. Kashyapkumar 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.

Is Kashyapkumar Shah affiliated with any hospitals?

According to CMS data, Kashyapkumar Shah is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for Kashyapkumar Shah was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.