DR. LISA C SHAH D.O.
NPI 1316129893
Family Medicine in Prince George, VA

Q: What is Lisa Shah's NPI number?

The NPI number for Lisa Shah is 1316129893. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Q: What is Lisa Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Shah was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

4700 PUDDLEDOCK RD, SUITE 300, PRINCE GEORGE, VA 23875(804) 526-1111(804) 526-2978 Get Directions Write a Review

NPPES record last updated: June 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Lisa C Shah D.o. NPPES

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

DR. LISA C SHAH D.O. (NPI 1316129893) is an individual family medicine provider in Prince George, Virginia, licensed in Virginia (0102202032) and active in the NPI registry since November 2007. She is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1316129893

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LISA C SHAHCredential: D.O.

Location Address4700 PUDDLEDOCK RD, SUITE 300Prince George, VA 23875-1268

Mailing Address4700 Puddledock Rd, Suite 300Prince George, VA 23875-1268 · (804) 526-1111 · Fax (804) 526-2978

Phone(804) 526-1111

Fax(804) 526-2978

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateNovember 27, 2007

Last NPPES UpdateJune 16, 2015

✔ NPI 1316129893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in VA · 0102202032

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4700 PUDDLEDOCK RD, Prince George, VA 23875

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Other Identifiers 1

Other016465P04VA · Medicare Ptan

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

Dr. Lisa C Shah D.o. 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 ID7012093404

PECOS Enrollment IDI20080326000151

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 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.

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.

818 services429 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

386 services46 patients

Annual depression screening, 5 to 15 minutes G0444

An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.

248 services248 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

164 services159 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

155 services152 patients

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.

113 services97 patients

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

76 services17 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.

75 services63 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

59 services59 patients

Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes 99493

This service involves continued psychiatric care management for the next calendar month, covering the first 60 minutes. It includes communication with you and your healthcare team, planning and adjusting your treatment, and monitoring your progress.

43 services12 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

26 services23 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

24 services23 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

17 services17 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

13 services12 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number490020

Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County

Emergency services

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number490032

LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County

Emergency services Birthing friendly

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Bon Secours Southern Virginia Medical Center

Acute Care Hospitals · Emporia, VA

OwnershipProprietary

CMS Certification Number490097

Location727 North Main StreetEmporia, VA 23847 · Emporia City County

Emergency services

Bon Secours St Francis Medical Center

Acute Care Hospitals · Midlothian, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number490136

Location13710 St Francis BoulevardMidlothian, VA 23114 · Chesterfield County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23875 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

97%847 patients4/55-star benchmark: 100%

Colorectal Cancer Screening

88%1,338 patients4/55-star benchmark: 100%

Controlling High Blood Pressure

94%977 patients4/55-star benchmark: 98%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

15%347 patients4/55-star benchmark: 98%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

100%2,053 patients5/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

95%1,332 patients4/55-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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers33 claims77 services$6.29 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims11 services$1.13 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

1 supplier14 claims1,680 services$1.46 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier19 claims19 services$37.50 avg. paid by Medicare

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

2 suppliers20 claims20 services$185.15 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 8

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

CHRISTOPHER W OGBURN MD

Family Medicine

4700 PUDDLEDOCK RD, SUITE 300
PRINCE GEORGE, VA 23875

Prince George County (804) 526-1111

DR. JIHO JOSEPH HAN M.D.

Internal Medicine (Cardiovascular Disease)

4700 PUDDLEDOCK RD, 400
PRINCE GEORGE, VA 23875

Prince George County (804) 458-1740

DR. LESLI ANTOINETTE BROWN M.D.

Family Medicine

4700 PUDDLEDOCK RD, SUITE 300
PRINCE GEORGE, VA 23875

Prince George County (804) 526-1111

MS. KAREN SAUNDERS NP

Nurse Practitioner (Pediatrics)

4700 PUDDLEDOCK RD, SUITE 300
PRINCE GEORGE, VA 23875

Prince George County (804) 526-1111

KHIN KYAW KYAW THEIN M.D., M.S.

Family Medicine

4700 PUDDLEDOCK RD, SUITE 300
PRINCE GEORGE, VA 23875

Prince George County (804) 526-1111

DR. REZA KHAN OMARZAI M.D.

Internal Medicine (Cardiovascular Disease)

4700 PUDDLEDOCK RD, 400
PRINCE GEORGE, VA 23875

Prince George County (804) 458-1740

DR. MICHAEL J BUNDA M.D.

Internal Medicine (Cardiovascular Disease)

4700 PUDDLEDOCK RD, 400
PRINCE GEORGE, VA 23875

Prince George County (804) 458-1740

MRS. LISA MICHELLE HAYNES NP-C

Nurse Practitioner (Family)

4700 PUDDLEDOCK RD, SUITE 400
PRINCE GEORGE, VA 23875

Prince George County (804) 458-1740

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 Lisa Shah's NPI number?

The NPI number for Lisa Shah is 1316129893. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is Lisa Shah located?

Lisa Shah practices at 4700 Puddledock Rd Suite 300, Prince George, VA 23875. The listed phone number is (804) 526-1111.

What is Lisa Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lisa Shah enrolled in Medicare?

Yes. Lisa 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 Lisa Shah affiliated with any hospitals?

According to CMS data, Lisa Shah is affiliated with John Randolph Medical Center, Medical College Of Virginia Hospitals, Bon Secours Southside Medical Center, Bon Secours Southern Virginia Medical Center and Bon Secours St Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Lisa Shah was last updated on June 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.