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VANDANA MRUGESH SHAH MD
NPI 1285871681
Internal Medicine in Mt Pleasant, TX

Active since January 07, 2009PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
2001 N JEFFERSON AVE, SUITE 204, MT PLEASANT, TX 75455(903) 577-7003(903) 577-3933 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vandana Mrugesh Shah Md NPPES

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

VANDANA MRUGESH SHAH MD (NPI 1285871681) is an individual internal medicine provider in Mt Pleasant, Texas, licensed in Texas (P8537) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1285871681
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVANDANA MRUGESH SHAHCredential: MD
Location Address2001 N JEFFERSON AVE, SUITE 204Mt Pleasant, TX 75455-2338
Mailing Address2001 N Jefferson Ave Ste 204Mt Pleasant, TX 75455-2392 · (903) 577-7003 · Fax (903) 577-3933
Phone(903) 577-7003
Fax(903) 577-3933
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJanuary 7, 2009
Last NPPES UpdateNovember 5, 2025
NPPES CertifiedNovember 5, 2025
✔ NPI 1285871681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · P8537
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.
2001 N JEFFERSON AVE, Mt Pleasant, TX 75455
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Other Names 1

Former Name (1)Vandana Palan Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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

Vandana Mrugesh 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 ID2466598354
PECOS Enrollment IDI20140611001416
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 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.
834 services265 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.
143 services97 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.
126 services123 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.
124 services120 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450690
Location11937 Us Highway 271Tyler, TX 75708 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%52 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.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers22 claims23 services$215.72 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. JOEL D. CHAPMAN M.D.
Pediatrics
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
MR. DONALD ROSEBERRY PA-C
Physician Assistant
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000
MS. LINDA MARIE MCDERMOTT-GONZALEZ PNP
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE, SUITE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
HUSSAIN HAIDERI M.D.
Internal Medicine (Nephrology)
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Titus County (903) 577-6000
TITUS COUNTY HOSPITAL DISTRICT
Clinic/Center (Multi-Specialty)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000
TITUS COUNTY HOSPITAL DISTRICT
Ambulance (Land Transport)
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000
CLINICAL PARTNERS - MT PLEASANT
Anesthesiology
2001 N JEFFERSON AVE
MT PLEASANT, TX 75455
Titus County (903) 663-3600
MOTHER FRANCES HOSPITAL-WINNSBORO
Psychiatric Unit
2001 N JEFFERSON AVE
MOUNT PLEASANT, TX 75455
Titus County (903) 577-6000

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 Vandana Shah's NPI number?

The NPI number for Vandana Shah is 1285871681. It was assigned to this individual provider in the NPPES registry on January 7, 2009. The provider is also known as Vandana Palan MD.

Where is Vandana Shah located?

Vandana Shah practices at 2001 N Jefferson Ave Suite 204, Mt Pleasant, TX 75455. The listed phone number is (903) 577-7003.

What is Vandana Shah's specialty?

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

Is Vandana Shah enrolled in Medicare?

Yes. Vandana 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 Vandana Shah accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Vandana 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 Vandana Shah affiliated with any hospitals?

According to CMS data, Vandana Shah is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Ut Health East Texas Athens Hospital and The University Of Texas Health Science Center At Tyler.

When was this NPI record last updated?

The NPPES record for Vandana Shah was last updated on November 5, 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.