DR. HIRAL H SHAH M.D.
NPI 1346496692
Emergency Medicine in Manhasset, NY

Active since August 18, 2008PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-2925 Get Directions Write a Review

NPPES record last updated: March 2, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Hiral H Shah M.d. NPPES

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

DR. HIRAL H SHAH M.D. (NPI 1346496692) is an individual emergency medicine provider in Manhasset, New York, licensed in New York (246876) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Js Weill Medical College, Cornell University (2006).

NPPES Registry Identity

NPI1346496692
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. HIRAL H SHAHCredential: M.D.
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address300 Community DrManhasset, NY 11030-3816 · (516) 562-2925
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2006
Enumeration DateAugust 18, 2008
Last NPPES UpdateMarch 2, 2009
NPI 1346496692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 246876
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

300 COMMUNITY DR, Manhasset, NY 11030

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. Hiral H 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 ID941352397
PECOS Enrollment IDI20090715000370
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
349 services346 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
191 services188 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
66 services65 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
46 services46 patients

Hospital Affiliations CMS Care Compare 4

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR
MANHASSET, NY 11030
Nurse Anesthetist, Certified Registered
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030
Anesthesiology
300 COMMUNITY DR
MANHASSET, NY 11030

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 Hiral Shah's NPI number?

The NPI number for Hiral Shah is 1346496692. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Where is Hiral Shah located?

Hiral Shah practices at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-2925.

What is Hiral Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Hiral Shah enrolled in Medicare?

Yes. Hiral 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.

Is Hiral Shah affiliated with any hospitals?

According to CMS data, Hiral Shah is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove, Long Island Jewish Medical Center and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Hiral Shah was last updated on March 2, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.