DR. NEERAJ N SHAH M.D.
NPI 1285913996
Internal Medicine - Interventional Cardiology in Greenville, NC

Active since August 11, 2011PECOS EnrolledAccepts Medicare Assignment
115 HEART DR, GREENVILLE, NC 27834(252) 744-4400(252) 744-3987 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 10, 2025, Nov 30, 2020, Mar 19, 2020 and 3 more (6 updates tracked since 2017).

About Dr. Neeraj N Shah M.d. NPPES

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

DR. NEERAJ N SHAH M.D. (NPI 1285913996) is an individual interventional cardiology provider in Greenville, North Carolina, licensed in North Carolina (2019-01658) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and maintains a secondary practice location in Greensburg.

NPPES Registry Identity

NPI1285913996
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. NEERAJ N SHAHCredential: M.D.
Location Address115 HEART DRGreenville, NC 27834-8982
Mailing AddressPo Box 751069Charlotte, NC 28275-1069
Fax(252) 744-3987
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 11, 2011
Last NPPES UpdateSeptember 10, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1285913996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in NC · 2019-01658✔ Licensed in PA · MD465195
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
115 HEART DR, Greenville, NC 27834

Secondary Practice Location 1

Location 144 S Washington AveGreensburg, PA 15601-2768 · Phone (724) 836-1862 · Fax (724) 689-0543

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

Dr. Neeraj N 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 ID3678822566
PECOS Enrollment IDI20180827001824
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

3

Medicare enrollment records show Neeraj Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3803 WEST CHESTER PIKE, H BLDG SUITE 160
Newtown Square, PA 19073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,638 clinicians in this Medicare group
Primary Care
171 W CRAWFORD AVE
Connellsville, PA 15425
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Excela Health Physician Practices, Inc
  • 669 clinicians in this Medicare group
Emergency Medicine
200 SCHUYLKILL MEDICAL PLZ
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 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 16

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.
118 services60 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.
93 services68 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
65 services62 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.
43 services23 patients
Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458
This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.
40 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27834 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Internal Medicine (Clinical Cardiac Electrophysiology)
115 HEART DR
GREENVILLE, NC 27834
Perfusionist
115 HEART DR, EAST CAROLINA HEART INSTITUTE AT ECU
GREENVILLE, NC 27834
Internal Medicine (Clinical Cardiac Electrophysiology)
115 HEART DR
GREENVILLE, NC 27834
Nurse Practitioner (Family)
115 HEART DR
GREENVILLE, NC 27834
Surgery (Vascular Surgery)
115 HEART DR
GREENVILLE, NC 27834
Nurse Practitioner (Acute Care)
115 HEART DR
GREENVILLE, NC 27834
Nurse Practitioner (Acute Care)
115 HEART DR
GREENVILLE, NC 27834
Nurse Practitioner
115 HEART DR
GREENVILLE, NC 27834

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 Neeraj Shah's NPI number?

The NPI number for Neeraj Shah is 1285913996. It was assigned to this individual provider in the NPPES registry on August 11, 2011.

Where is Neeraj Shah located?

Neeraj Shah practices at 115 Heart Dr, Greenville, NC 27834. The listed phone number is (252) 744-4400.

What is Neeraj Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Neeraj Shah enrolled in Medicare?

Yes. Neeraj 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 Neeraj Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neeraj Shah reassigns Medicare benefits to 3 organizations: Main Line Healthcare (Newtown Square, PA), Excela Health Connellsville Internal Med-Dr. Tiberio (Connellsville, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). 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 Neeraj Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neeraj Shah accept?

Health plans from Peak Health Insurance list Neeraj 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 Neeraj Shah affiliated with any hospitals?

According to CMS data, Neeraj Shah is affiliated with Excela Health Westmoreland Regional Hospital, Excela Health - Frick Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Neeraj Shah was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.