DR. SUJAL SHAH MD
NPI 1346426566
Internal Medicine - Medical Oncology in Palm Springs, FL

Active since January 17, 2008PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1630 S CONGRESS AVE STE 200, PALM SPRINGS, FL 33461(561) 253-3980(561) 253-3985 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Sujal Shah Md NPPES

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

DR. SUJAL SHAH MD (NPI 1346426566) is an individual medical oncology provider in Palm Springs, Florida, licensed in Florida (ME119608) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with Jupiter Medical Center, and maintains a secondary practice location in Palm Beach Gardens.

NPPES Registry Identity

NPI1346426566
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameDR. SUJAL SHAHCredential: MD
Location Address1630 S CONGRESS AVE STE 200Palm Springs, FL 33461-2171
Mailing Address1630 S Congress Ave Ste 200Palm Springs, FL 33461-2171 · (561) 253-3980 · Fax (561) 253-3985
Fax(561) 253-3985
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2002
Enumeration DateJanuary 17, 2008
Last NPPES UpdateNovember 11, 2020
NPPES CertifiedNovember 11, 2020
NPI 1346426566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
Licenses Licensed in FL · ME119608 Licensed in TX · N1136 Licensed in NH · 15552
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
1630 S CONGRESS AVE STE 200, Palm Springs, FL 33461

Secondary Practice Location 1

Location 111382 Prosperity Farms Rd Ste 228Palm Beach Gardens, FL 33410-3463 · Phone (561) 253-3980 · Fax (561) 253-3985

Other Identifiers 1

Medicaid32001101NH

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

Dr. Sujal Shah Md 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 ID4486714003
PECOS Enrollment IDI20150505001743
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 52

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.

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use) Q0138
Ferumoxytol injection is a treatment for iron deficiency anemia, a condition where your body lacks enough iron. It is injected into your vein to increase iron levels, aiding in the production of healthy red blood cells. This treatment is not for ESRD patients.
63,750 services70 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
49,400 services56 patients
Injection, nivolumab, 1 mg J9299
Nivolumab is a medication given via injection, often used in cancer treatment. It works by helping your immune system fight the cancer cells. The dosage is measured in milligrams (mg), with 1 mg being a common dose.
23,400 services23 patients
Injection, filgrastim-aafi, biosimilar, (nivestym), 1 microgram Q5110
Filgrastim-aafi (Nivestym) is a biosimilar injection used to stimulate the growth of white blood cells, which help the body fight off infections. It's often given to patients with low white blood cell counts due to cancer treatments or other conditions.
12,420 services11 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
11,580 services50 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
9,000 services23 patients

Hospital Affiliations CMS Care Compare

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

Jupiter Medical Center

Acute Care Hospitals · Jupiter, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100253
Location1210 S Old Dixie HwyJupiter, FL 33458 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33461 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,508 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
75%142 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
26%62 patients2/55-star benchmark: 98%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
37%2,477 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
64%441 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
60%843 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
40%50 patients2/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
76%559 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
68%441 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
35%441 patients2/55-star benchmark: 79%
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.

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.

Nurse Practitioner
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Physician Assistant
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Nurse Practitioner (Adult Health)
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Registered Nurse
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Internal Medicine (Medical Oncology)
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Clinic/Center (Oncology)
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Nurse Practitioner
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461
Internal Medicine (Medical Oncology)
1630 S CONGRESS AVE STE 200
PALM SPRINGS, FL 33461

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 Sujal Shah's NPI number?

The NPI number for Sujal Shah is 1346426566. It was assigned to this individual provider in the NPPES registry on January 17, 2008.

Where is Sujal Shah located?

Sujal Shah practices at 1630 S Congress Ave Ste 200, Palm Springs, FL 33461. The listed phone number is (561) 253-3980.

What is Sujal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Sujal Shah enrolled in Medicare?

Yes. Sujal 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 Sujal Shah accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Sujal 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 Sujal Shah affiliated with any hospitals?

According to CMS data, Sujal Shah is affiliated with Jupiter Medical Center.

When was this NPI record last updated?

The NPPES record for Sujal Shah was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.