VRUSHALI HIREN SHAH M.D.
NPI 1336523315
Internal Medicine - Endocrinology, Diabetes & Metabolism in Melrose, MA

Active since July 19, 2015PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
585 LEBANON ST, MELROSE, MA 02176(781) 979-3000 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 13, 2024, Dec 8, 2023, Nov 2, 2020 and 4 more (7 updates tracked since 2018).

About Vrushali Hiren Shah M.d. NPPES

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

VRUSHALI HIREN SHAH M.D. (NPI 1336523315) is an individual endocrinology, diabetes & metabolism provider in Melrose, Massachusetts, licensed in Massachusetts (283837) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with Melrosewakefield Healthcare, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1336523315
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameVRUSHALI HIREN SHAHCredential: M.D.
Location Address585 LEBANON STMelrose, MA 02176-3225
Mailing Address585 Lebanon StMelrose, MA 02176-3225 · (781) 979-3000
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 19, 2015
Last NPPES UpdateDecember 13, 20247 updates tracked since enumeration
NPPES CertifiedDecember 13, 2024
NPI 1336523315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in MA · 283837
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

585 LEBANON ST, Melrose, MA 02176

Other Identifiers 1

Medicaid110162760AMA

Accepted Insurance

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

Vrushali Hiren 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 ID9739504606
PECOS Enrollment IDI20200810001377
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.

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.
122 services78 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
76 services74 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
68 services54 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.
67 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
22 services22 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Melrosewakefield Healthcare

Acute Care Hospitals · Melrose, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220070
Location585 Lebanon StreetMelrose, MA 02176 · Middlesex County
Emergency services Birthing friendly

Tufts Medical Center

Acute Care Hospitals · Boston, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220116
Location800 Washington StreetBoston, MA 02111 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02176 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
15 suppliers45 claims145 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers21 claims38 services$1.16 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 suppliers87 claims87 services$152.04 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 20

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

Social Worker (Clinical)
585 LEBANON ST, MELROSE WAKEFIELD HOSPITAL PSYCH
MELROSE, MA 02176
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Psychiatry & Neurology (Psychiatry)
585 LEBANON ST, MELROSE WAKEFIELD HOSPITAL PSYCH
MELROSE, MA 02176
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176
Emergency Medicine
585 LEBANON ST
MELROSE, MA 02176

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 Vrushali Shah's NPI number?

The NPI number for Vrushali Shah is 1336523315. It was assigned to this individual provider in the NPPES registry on July 19, 2015.

Where is Vrushali Shah located?

Vrushali Shah practices at 585 Lebanon St, Melrose, MA 02176. The listed phone number is (781) 979-3000.

What is Vrushali Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Vrushali Shah enrolled in Medicare?

Yes. Vrushali 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.

What insurance does Vrushali Shah accept?

Health plans from Anthem Blue Cross and Blue Shield list Vrushali 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 Vrushali Shah affiliated with any hospitals?

According to CMS data, Vrushali Shah is affiliated with Melrosewakefield Healthcare and Tufts Medical Center.

When was this NPI record last updated?

The NPPES record for Vrushali Shah was last updated on December 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.