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DR. RAJIV S SHAH MD
NPI 1295849073
Internal Medicine - Gastroenterology in Potsdam, NY

Active since August 18, 2006PECOS Enrolled
95.38/100
CMS Quality Rating
50 LEROY ST, POTSDAM, NY 13676(315) 261-4493(315) 261-4498 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 11, 2020, Jun 19, 2017 (2 updates tracked since 2017).

About Dr. Rajiv S Shah Md NPPES

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

DR. RAJIV S SHAH MD (NPI 1295849073) is an individual gastroenterology provider in Potsdam, New York, licensed in New York (168997) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295849073
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RAJIV S SHAHCredential: MD
Location Address50 LEROY STPotsdam, NY 13676-1786
Mailing Address50 Leroy StPotsdam, NY 13676-1799 · (315) 265-3300 · Fax (315) 261-4498
Phone(315) 261-4493
Fax(315) 261-4498
Sole ProprietorNo
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1295849073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 168997
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 168997 (NY)
50 LEROY ST, Potsdam, NY 13676
Open in Google Maps ↗

Other Identifiers 2

Medicaid01061641NY
Other110022828NY · Railroad Medicare

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rajiv S Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Rajiv Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Canton-Potsdam Hospital
Same address
General Acute Care Hospital
50 LEROY STREET
Potsdam, NY 13676
  • Reassigned Medicare billing, New York enrollment
  • 414 clinicians in this Medicare group
NPI 1568548782 (315) 265-3300

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 9

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services53 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
53 services52 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
50 services50 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
34 services33 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
28 services28 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.
24 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13676 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 $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

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.

JULIE LYNN LAWLESS LCSW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
DR. KYLE FLINT PHARMD, RPH
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
HEATHER MACKINNON
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KARYN SULLIVAN PA
Emergency Medicine
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 782-2620
COREEN BOHL MSW, LCSW, ACHP-SW
Social Worker (Clinical)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
KELSEY MILLER
Pharmacist
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 261-5511
CHRISTINA KASHMER PA
Physician Assistant
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300
YASMEEN ZAIDI MS
Counselor (Mental Health)
50 LEROY ST
POTSDAM, NY 13676
St. Lawrence County (315) 265-3300

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 Rajiv Shah's NPI number?

The NPI number for Rajiv Shah is 1295849073. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Rajiv Shah located?

Rajiv Shah practices at 50 Leroy St, Potsdam, NY 13676. The listed phone number is (315) 261-4493.

What is Rajiv Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Rajiv Shah enrolled in Medicare?

Yes. Rajiv Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rajiv Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rajiv Shah reassigns Medicare benefits to Canton-Potsdam Hospital (Potsdam, NY). The 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 Rajiv Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rajiv Shah was last updated on March 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.