MRS. BHANU J SHAH MD
NPI 1295743896
Obstetrics & Gynecology in Sterling Heights, MI

Active since August 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 23D0365860 · Waiver
37300 DEQUINDRE RD STE 115, STERLING HEIGHTS, MI 48310(586) 574-2190(586) 574-2203 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Bhanu J Shah Md NPPES

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

MRS. BHANU J SHAH MD (NPI 1295743896) is an individual obstetrics & gynecology provider in Sterling Heights, Michigan, licensed in Michigan (31534) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 12, 2026, and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1295743896
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMRS. BHANU J SHAHCredential: MD
Location Address37300 DEQUINDRE RD STE 115Sterling Heights, MI 48310
Mailing Address37300 Dequindre Rd Ste 115Sterling Heights, MI 48310-3508 · (586) 574-2190 · Fax (586) 574-2203
Fax(586) 574-2203
Sole ProprietorNo
Medical School CMSOtherGraduated 1962
Enumeration DateAugust 3, 2006
Last NPPES UpdateJanuary 24, 2019
NPI 1295743896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MI · 31534
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
37300 DEQUINDRE RD STE 115, Sterling Heights, MI 48310

Secondary Practice Location 1

Location 137300 Dequindre Rd Ste 115Sterling Heights, MI 48310 · Phone (586) 574-2190 · Fax (586) 574-2203

Other Identifiers 1

Medicaid105976410MI

Accepted 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

Mrs. Bhanu 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 ID2567506165
PECOS Enrollment IDI20100220000116
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0365860

Bhanu J Shah MD PC · Sterling Heights, MI
Active · expires Oct 12, 2026
CLIA Number23D0365860
Laboratory TypePhysician Office
Certificate Effective DateOctober 13, 2024
Certificate Expiration DateOctober 12, 2026
Laboratory DirectorBhanu J. Shah
Laboratory Phone(586) 574-2190
Laboratory LocationBhanu J Shah MD PC37300 Dequindre Road Suite 115, Sterling Heights, MI 48310
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 4

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.

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.
33 services16 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
16 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48310 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

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 Bhanu Shah's NPI number?

The NPI number for Bhanu Shah is 1295743896. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Bhanu Shah located?

Bhanu Shah practices at 37300 Dequindre Rd Ste 115, Sterling Heights, MI 48310. The listed phone number is (586) 574-2190.

What is Bhanu Shah's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Bhanu Shah enrolled in Medicare?

Yes. Bhanu 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.

Does Bhanu Shah hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0365860) is associated with this NPI, valid through October 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bhanu Shah accept?

Health plans from Priority Health list Bhanu 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.

When was this NPI record last updated?

The NPPES record for Bhanu Shah was last updated on January 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.