ROHIT SHAH M.D.
NPI 1275976342
Hospitalist in Elyria, OH

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment
79.48/100
CMS Quality Rating
630 E RIVER ST, ELYRIA, OH 44035(440) 542-5000 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2025, Aug 15, 2022, Sep 24, 2018 and 1 more (4 updates tracked since 2017).

About Rohit Shah M.d. NPPES

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

ROHIT SHAH M.D. (NPI 1275976342) is an individual hospitalist provider in Elyria, Ohio, licensed in Ohio (35.129252) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with The Medical Center (bowling Green), and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1275976342
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameROHIT SHAHCredential: M.D.
Location Address630 E RIVER STElyria, OH 44035-5902
Mailing Address13207 Ravenna RdChardon, OH 44024-7032 · (440) 285-6000
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 9, 2013
Last NPPES UpdateNovember 4, 20254 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
✔ NPI 1275976342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in OH · 35.129252
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
630 E RIVER ST, Elyria, OH 44035

Secondary Practice Locations 3

Location 1250 Park StBowling Green, KY 42101-1760 · Phone (270) 796-6540
Location 22500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-4486
Location 313207 Ravenna RdChardon, OH 44024 · Phone (440) 285-6000

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rohit 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 ID6800023888
PECOS Enrollment IDI20161129001046, I20251118003204
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 Reassignments

5

Medicare enrollment records show Rohit Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
18697 BAGLEY RD
Middleburg Heights, OH 44130
  • Reassigned Medicare billing, Ohio enrollment
  • 238 clinicians in this Medicare group
Multi-Specialty
2500 METROHEALTH DR
Cleveland, OH 44109
  • Reassigned Medicare billing, Ohio enrollment
  • 2,147 clinicians in this Medicare group
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
Internal Medicine
1912 HAYES AVE STE 1E
Sandusky, OH 44870
  • Reassigned Medicare billing, Ohio enrollment
  • 182 clinicians in this Medicare group
Surgery
252 BURKESVILLE RD
Albany, KY 42602
  • Reassigned Medicare billing, Kentucky enrollment
  • 319 clinicians in this Medicare group

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 3

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.
251 services139 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.
135 services132 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.
44 services42 patients

Hospital Affiliations CMS Care Compare 5

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

The Medical Center (bowling Green)

Acute Care Hospitals · Bowling Green, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180013
Location250 Park StreetBowling Green, KY 42101 · Warren County
Emergency services Birthing friendly

The Medical Center At Scottsville

Critical Access Hospitals · Scottsville, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181324
Location456 Burnley RoadScottsville, KY 42164 · Allen County
Emergency services

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

University Hospitals Portage Medical Center

Acute Care Hospitals · Ravenna, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360078
Location6847 N ChestnutRavenna, OH 44266 · Portage County
Emergency services

University Hospitals - Elyria Medical Center

Acute Care Hospitals · Elyria, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360145
Location630 East River StreetElyria, OH 44035 · Lorain County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44035 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

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.

Nurse Anesthetist, Certified Registered
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Critical Care Medicine)
630 E RIVER ST
ELYRIA, OH 44035
Physician Assistant
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Family)
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035
Emergency Medicine
630 E RIVER ST
ELYRIA, OH 44035
Anesthesiology
630 E RIVER ST
ELYRIA, OH 44035
Nurse Practitioner (Adult Health)
630 E RIVER ST
ELYRIA, OH 44035

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 Rohit Shah's NPI number?

The NPI number for Rohit Shah is 1275976342. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Rohit Shah located?

Rohit Shah practices at 630 E River St, Elyria, OH 44035. The listed phone number is (440) 542-5000.

What is Rohit Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Rohit Shah enrolled in Medicare?

Yes. Rohit 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.

Which organizations bill Medicare for Rohit Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rohit Shah reassigns Medicare benefits to 5 organizations: North East Ohio Group Practice LLC (Middleburg Heights, OH), The Metrohealth System (Cleveland, OH), University Hospitals Medical Group Inc (Cleveland, OH), North Coast Professional Company, LLC (Sandusky, OH) and Commonwealth Health Corporation, Inc (Albany, KY). Each 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 Rohit Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rohit Shah accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Rohit 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 Rohit Shah affiliated with any hospitals?

According to CMS data, Rohit Shah is affiliated with The Medical Center (bowling Green), The Medical Center At Scottsville, Uh Regional Hospitals, University Hospitals Portage Medical Center and University Hospitals - Elyria Medical Center.

When was this NPI record last updated?

The NPPES record for Rohit Shah was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.