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PRAMODCHANDRA C SHAH MD
NPI 1316915465
Surgery in Winthrop, MA

Active since March 14, 2006PECOS Enrolled
365 MAIN ST, WINTHROP, MA 02152(617) 846-5352(617) 846-1062 Get Directions Write a Review

NPPES record last updated: October 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pramodchandra C Shah Md NPPES

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

PRAMODCHANDRA C SHAH MD (NPI 1316915465) is an individual surgery provider in Winthrop, Massachusetts, licensed in Massachusetts (34904) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316915465
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePRAMODCHANDRA C SHAHCredential: MD
Location Address365 MAIN STWinthrop, MA 02152
Mailing Address29 Blue Jay RdLynnfield, MA 01940 · (781) 581-5038
Phone(617) 846-5352
Fax(617) 846-1062
Sole ProprietorYes
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 21, 2011
✔ NPI 1316915465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MA · 34904
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
365 MAIN ST, Winthrop, MA 02152
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Other Identifiers 3

Medicare UPINB72553
Medicare ID-Type UnspecifiedA04028
Medicaid2008912MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pramodchandra C 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.

Areas of Expertise CMS Part B claims 7

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
118 services95 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.
111 services83 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.
80 services62 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
38 services34 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.
20 services20 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02152 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.55 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.47 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 4

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

JEANNE MARIE HOLGERSEN
Nurse Practitioner (Primary Care)
365 MAIN ST
WINTHROP, MA 02152
Suffolk County (617) 846-5352
COMMONWEALTH PRIMARY CARE INC.
Clinic/Center (Primary Care)
365 MAIN ST
WINTHROP, MA 02152
Suffolk County (617) 846-5352
COMMONWEALTH CLINICAL SERVICES, INC.
Home Health
365 MAIN ST
WINTHROP, MA 02152
Suffolk County (617) 846-7676
PC SHAH MD INC
Surgery
365 MAIN ST
WINTHROP, MA 02152
Suffolk County (617) 846-5352

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 Pramodchandra Shah's NPI number?

The NPI number for Pramodchandra Shah is 1316915465. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Pramodchandra Shah located?

Pramodchandra Shah practices at 365 Main St, Winthrop, MA 02152. The listed phone number is (617) 846-5352.

What is Pramodchandra Shah's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Pramodchandra Shah enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Pramodchandra Shah was last updated on October 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.