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ISHA SHAH M.D.
NPI 1326490699
Internal Medicine - Rheumatology in Warwick, RI

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment
455 TOLL GATE RD, WARWICK, RI 02886(401) 681-2858(401) 921-6943 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 22, 2021, Jun 10, 2021, Jul 11, 2016 (3 updates tracked since 2016).

About Isha Shah M.d. NPPES

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

ISHA SHAH M.D. (NPI 1326490699) is an individual rheumatology provider in Warwick, Rhode Island, licensed in Rhode Island (MD17764) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and maintains a secondary practice location in Pawtucket.

NPPES Registry Identity

NPI1326490699
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameISHA SHAHCredential: M.D.
Location Address455 TOLL GATE RDWarwick, RI 02886-2759
Mailing Address111 Brewster StPawtucket, RI 02860-4474 · (401) 729-2258 · Fax (401) 729-3343
Phone(401) 681-2858
Fax(401) 921-6943
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJuly 11, 2016
Last NPPES UpdateAugust 30, 20243 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1326490699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in RI · MD17764
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License LP03797 (RI)
455 TOLL GATE RD, Warwick, RI 02886
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Brewster StPawtucket, RI 02860-4474 · Phone (401) 729-2258 · Fax (401) 729-3343

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

Isha Shah M.d. 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 ID3779879762
PECOS Enrollment IDI20210614003073
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 Isha Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Affinity Physicians LLC.
Same address
Internal Medicine
455 TOLL GATE RD
Warwick, RI 02886
  • Reassigned Medicare billing, Rhode Island enrollment
  • 984 clinicians in this Medicare group
NPI 1184944662 (401) 737-7010

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 6

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.
202 services90 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.
54 services25 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.
48 services41 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.
26 services26 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.
17 services17 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

South County Hospital Inc

Acute Care Hospitals · Wakefield, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410008
Location100 Kenyon AveWakefield, RI 02879 · Washington County
Emergency services Birthing friendly

Kent County Memorial Hospital

Acute Care Hospitals · Warwick, RI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number410009
Location455 Toll Gate RdWarwick, RI 02886 · Kent County
Emergency services Birthing friendly

Women & Infants Hospital Of Rhode Island

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410010
Location101 Dudley StreetProvidence, RI 02905 · Providence County
Emergency services Birthing friendly

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02886 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

DR. STERLING LEAF MALISH M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
MRS. JENNIFER JENNINGS NP
Nurse Practitioner (Adult Health)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
SABRINA O'DONNELL FNP-BC
Nurse Practitioner (Family)
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
CHRISTOPHER BAZE DO
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KELLY SANCHEZ MD
Family Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010
KENNETH ROBERT LARSEN D.O
Emergency Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 736-4289
JOHN A GELZHISER M.D.
Internal Medicine
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7000
RICHARD J PEDRO D.O.
Anesthesiology
455 TOLL GATE RD
WARWICK, RI 02886
Kent County (401) 737-7010

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 Isha Shah's NPI number?

The NPI number for Isha Shah is 1326490699. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Isha Shah located?

Isha Shah practices at 455 Toll Gate Rd, Warwick, RI 02886. The listed phone number is (401) 681-2858.

What is Isha Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Isha Shah enrolled in Medicare?

Yes. Isha 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 Isha Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Isha Shah reassigns Medicare benefits to Affinity Physicians LLC. (Warwick, RI). 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 Isha Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Isha Shah affiliated with any hospitals?

According to CMS data, Isha Shah is affiliated with Rhode Island Hospital, South County Hospital Inc, Kent County Memorial Hospital, Women & Infants Hospital Of Rhode Island and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Isha Shah was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.