KARTIK J. SHAH MD
NPI 1285688572
Radiology - Diagnostic Radiology in Philadelphia, PA

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
3998 RED LION ROAD, PHILADELPHIA, PA 19114(215) 612-4021 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kartik J. Shah Md NPPES

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

KARTIK J. SHAH MD (NPI 1285688572) is an individual diagnostic radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD423540) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1285688572
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameKARTIK J. SHAHCredential: MD
Location Address3998 RED LION ROADPhiladelphia, PA 19114-1436
Mailing Address4 Interplex Dr Ste 209Trevose, PA 19053-6940 · (215) 244-3070 · Fax (215) 638-9041
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1999
Enumeration DateMay 20, 2006
Last NPPES UpdateApril 8, 2026
NPPES CertifiedApril 8, 2026
NPI 1285688572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in PA · MD423540
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Body ImagingTaxonomy 2085B0100X · License MD423540 (PA)
Also ListedRadiology · NeuroradiologyTaxonomy 2085N0700X · License MD423540 (PA)
Also ListedRadiology · Nuclear RadiologyTaxonomy 2085N0904X · License MD423540 (PA)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD423540 (PA)
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X · License MD423540 (PA)
3998 RED LION ROAD, Philadelphia, PA 19114

Secondary Practice Location 1

Location 1320 E North AvePittsburgh, PA 15212-4756 · Phone (412) 359-2459 · Fax (412) 359-8233

Other Identifiers 2

Medicaid100883959PA
Medicaid100883959-0018PA

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

Kartik J. 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 ID749270767
PECOS Enrollment IDI20040513000193
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 36

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.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
181 services166 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
117 services117 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
116 services112 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
116 services116 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
74 services72 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
66 services66 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
Most-billed visit code 99213
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
96%26 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
100%1,128 patients
Radiology: Reminder System for Screening Mammograms
Percentage of patients undergoing a screening mammogram whose information is entered into a reminder system with a target due date for the next mammogram
100%74 patients
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%26 patients
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 18

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

Obstetrics & Gynecology
3998 RED LION ROAD
PHILADELPHIA, PA 19114
Internal Medicine (Pulmonary Disease)
3998 RED LION ROAD, SUITE 250
PHILADELPHIA, PA 19114
Radiology (Vascular & Interventional Radiology)
3998 RED LION ROAD
PHILADELPHIA, PA 19114
Internal Medicine (Cardiovascular Disease)
3998 RED LION ROAD, SUITE 207
PHILADELPHIA, PA 19114
Internal Medicine (Pulmonary Disease)
3998 RED LION ROAD, SUITE 250
PHILADELPHIA, PA 19114
Radiology (Diagnostic Radiology)
3998 RED LION ROAD
PHILADELPHIA, PA 19114
Radiology (Diagnostic Radiology)
3998 RED LION ROAD
PHILADELPHIA, PA 19114
Radiology (Diagnostic Radiology)
3998 RED LION ROAD
PHILADELPHIA, PA 19114

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 Kartik Shah's NPI number?

The NPI number for Kartik Shah is 1285688572. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Kartik Shah located?

Kartik Shah practices at 3998 Red Lion Road, Philadelphia, PA 19114. The listed phone number is (215) 612-4021.

What is Kartik Shah's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Kartik Shah enrolled in Medicare?

Yes. Kartik 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 Kartik Shah affiliated with any hospitals?

According to CMS data, Kartik Shah is affiliated with Penn State Health Holy Spirit Medical Center, Penn State Health St. Joseph, Milton S Hershey Medical Center, Penn State Health Hampden Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Kartik Shah was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.