BIRJU DIPAK SHAH D.O.
NPI 1326335977
Internal Medicine - Gastroenterology in Rock Hill, SC

Q: What is Birju Shah's NPI number?

The NPI number for Birju Shah is 1326335977. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Q: What is Birju Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Birju Shah was last updated on April 29, 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.

Active since July 05, 2011PECOS EnrolledAccepts Medicare Assignment

78.71/100

CMS Quality Rating

170 AMENDMENT AVE, ROCK HILL, SC 29732(803) 324-7607 Get Directions Write a Review

NPPES record last updated: April 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Birju Dipak Shah D.o. NPPES

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

BIRJU DIPAK SHAH D.O. (NPI 1326335977) is an individual gastroenterology provider in Rock Hill, South Carolina, licensed in South Carolina (51905) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with Piedmont Medical Center, and maintains a secondary practice location in Cleveland.

NPPES Registry Identity

NPI1326335977

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameBIRJU DIPAK SHAHCredential: D.O.

Location Address170 AMENDMENT AVERock Hill, SC 29732

Mailing Address170 Amendment AveRock Hill, SC 29732-3073 · (803) 324-7607

Phone(803) 324-7607

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 5, 2011

Last NPPES UpdateApril 29, 2019

✔ NPI 1326335977 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 SC · 51905

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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

170 AMENDMENT AVE, Rock Hill, SC 29732

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Secondary Practice Location 1

Location 12500 Metrohealth DrCleveland, OH 44109-1900 · Phone (216) 778-5394

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Birju Dipak 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 ID7416199641

PECOS Enrollment IDI20180820001456

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 Birju Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Digestive Disease Associates Of York Coutny PA

Same address

Specialist

170 AMENDMENT AVE
Rock Hill, SC 29732

Reassigned Medicare billing, South Carolina enrollment
9 clinicians in this Medicare group

NPI 1083679427 (803) 324-7607

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 15

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.

208 services155 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.

132 services118 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

103 services103 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

96 services95 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.

53 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.

39 services39 patients

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.

32 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

31 services31 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.

16 services16 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

15 services15 patients

Complete ultrasound of abdomen and pelvis artery and vein blood flow 93975

This procedure uses sound waves to create images of your abdomen and pelvis, specifically focusing on the arteries and veins. It helps in assessing the blood flow and detecting any abnormalities, ensuring your overall well-being.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

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.

14 services14 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Medical Center

Acute Care Hospitals · Rock Hill, SC

2/5 CMS rating

OwnershipProprietary

CMS Certification Number420002

Location1731 Frank Gaston BlvdRock Hill, SC 29732 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29732 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

$124.04 typical visit price

range $53.57 – $163.84

Typical copayment $31.01 (range $13.39 – $40.96)

Most-billed visit code 99204

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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.

78.71/100

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

Scored as part of a group practice

Quality

82.4

Improvement Activities

Cost

52.49

Other Providers at the Same Location NPPES 15

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

SARAH ELIZABETH CHRIST FNP

Nurse Practitioner (Family)

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 324-7607

DIGESTIVE DISEASE ASSOCIATES OF YORK COUTNY PA

Specialist

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 324-7607

RANDOLPH L RODRIGUE MD

Internal Medicine (Gastroenterology)

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 324-7607

NIRAV N PATEL MD

Specialist

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 324-7607

STEPHEN J BOTT MD

Internal Medicine (Gastroenterology)

170 AMENDMENT AVE, DIGESTIVE DISEASE ASSOCIATES OF YORK COUNTY PA
ROCK HILL, SC 29732

York County (803) 324-7607

DR. CHIEMEZIEM GOOD EKE MD

Internal Medicine (Gastroenterology)

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 326-5254

LIUDMILA SIARHEEUNA CASSIDY

Nurse Practitioner (Adult Health)

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 324-7607

WILLIAM TAYLOR IVEY

Nurse Practitioner (Family)

170 AMENDMENT AVE
ROCK HILL, SC 29732

York County (803) 324-7607

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 Birju Shah's NPI number?

The NPI number for Birju Shah is 1326335977. It was assigned to this individual provider in the NPPES registry on July 5, 2011.

Where is Birju Shah located?

Birju Shah practices at 170 Amendment Ave, Rock Hill, SC 29732. The listed phone number is (803) 324-7607.

What is Birju Shah's specialty?

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

Is Birju Shah enrolled in Medicare?

Yes. Birju 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 organization bills Medicare for Birju Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Birju Shah reassigns Medicare benefits to Digestive Disease Associates Of York Coutny PA (Rock Hill, SC). 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 Birju Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Birju Shah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, InStil Health and Molina Healthcare and 1 other insurer list Birju 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 Birju Shah affiliated with any hospitals?

According to CMS data, Birju Shah is affiliated with Piedmont Medical Center.

When was this NPI record last updated?

The NPPES record for Birju Shah was last updated on April 29, 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.