Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NIHAR NIKHILESH SHAH M.D.
NPI 1356605018
Internal Medicine - Gastroenterology in Sarasota, FL

Q: What is Nihar Shah's NPI number?

The NPI number for Nihar Shah is 1356605018. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Q: What is Nihar 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 Nihar Shah was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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 June 27, 2012PECOS EnrolledAccepts Medicare Assignment

78.8/100

CMS Quality Rating

1852 HILLVIEW ST, SARASOTA, FL 34239(941) 262-0400(941) 262-0410 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2020, Aug 13, 2020, Dec 4, 2019 and 2 more (5 updates tracked since 2018).

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About Nihar Nikhilesh Shah M.d. NPPES

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

NIHAR NIKHILESH SHAH M.D. (NPI 1356605018) is an individual gastroenterology provider in Sarasota, Florida, licensed in Florida (ME136945) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Sarasota Memorial Hospital, and maintains a secondary practice location in Sarasota.

NPPES Registry Identity

NPI1356605018

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameNIHAR NIKHILESH SHAHCredential: M.D.

Location Address1852 HILLVIEW STSarasota, FL 34239-3638

Mailing AddressPo Box 947407Atlanta, GA 30394-7407 · (941) 917-2600 · Fax (941) 917-7884

Phone(941) 262-0400

Fax(941) 262-0410

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 27, 2012

Last NPPES UpdateJune 29, 20265 updates tracked since enumeration

NPPES CertifiedJune 29, 2026

✔ NPI 1356605018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in FL · ME136945

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.

1852 HILLVIEW ST, Sarasota, FL 34239

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Secondary Practice Location 1

Location 11888 Hillview StSarasota, FL 34239-3605 · Phone (941) 262-0400 · Fax (941) 262-0410

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.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

Nihar Nikhilesh 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 ID8123334067

PECOS Enrollment IDI20180828001639

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 25

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.

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.

311 services277 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.

256 services244 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.

215 services202 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.

204 services153 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

172 services72 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.

170 services167 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.

146 services116 patients

Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare 43251

This procedure involves the use of a thin, flexible instrument called an endoscope to visualize and remove abnormal growths, known as polyps, from the esophagus, stomach, or upper small bowel. A tool called a mechanical snare is used to safely cut and remove these growths.

95 services89 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.

80 services80 patients

Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255

This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.

50 services47 patients

Destruction of polyp or growth of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43270

This procedure involves using a flexible tool called an endoscope to identify and remove abnormal growths or polyps in the esophagus, stomach, or upper small bowel. It's a safe way to prevent these growths from causing health issues.

40 services36 patients

Study of esophagus to assess movement 91010

This procedure, known as esophageal manometry, involves studying the esophagus or food pipe to evaluate its movement and pressure. It helps understand how well the esophagus can move food to the stomach. Involving a thin, flexible tube, it's a safe, minimally invasive test.

34 services33 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.

31 services25 patients

Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm 43249

This procedure involves using a flexible tube with a camera, called an endoscope, to gently expand narrowed areas in your esophagus, stomach, or upper small bowel. A small balloon is inflated, making it easier for food and liquid to pass through. It's safe and effective.

28 services26 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

27 services25 patients

Destruction of polyp or growth of large bowel using a flexible endoscope 45388

This procedure involves the removal of a polyp or growth in the large bowel. A flexible endoscope, a thin tube with a camera, is inserted through the rectum to visualize and remove the growth. This helps maintain bowel health and prevent complications.

24 services24 patients

Biopsy of small bowel (except ileum) using an endoscope 44361

A small bowel biopsy involves using a thin, flexible tube called an endoscope to examine the small intestine and take a small tissue sample. This sample is then examined under a microscope for any abnormalities. It's a safe, minimally invasive procedure.

23 services21 patients

Control of bleeding of upper large bowel using a flexible endoscope 45382

This procedure involves using a flexible endoscope, a thin tube with a light and camera, to view and control bleeding in the upper large bowel. Special tools can be passed through the endoscope to stop the bleeding. It's a minimally invasive way to address this issue.

23 services22 patients

Study of esophageal sensation by balloon distension 91040

This procedure involves inflating a small balloon in the esophagus, the tube connecting your mouth to your stomach. It helps doctors understand how your esophagus responds to pressure changes, aiding in the diagnosis of certain digestive disorders.

22 services21 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

17 services14 patients

Control of bleeding of first or second part of small bowel using an endoscope 44366

This procedure involves using an endoscope, a flexible tube with a light and camera, to view and control bleeding in the first or second part of your small bowel. It's a non-surgical method that helps to manage and stop the bleeding effectively.

15 services14 patients

Injection beneath lining of large bowel using a flexible endoscope 45381

This procedure involves a flexible tube, called an endoscope, being inserted into the large bowel. A small needle is then passed through the tube to inject medication under the bowel lining. This is typically done to treat inflammation or bleeding.

15 services15 patients

Monitoring and recording of esophageal function through nasal tube 91034

This procedure involves the insertion of a thin tube through the nose and into the esophagus. It helps monitor and record esophageal function, including how well food and liquids move through it. It's a safe and effective way to detect potential issues.

15 services15 patients

Destruction of polyp or growth of small bowel using an endoscope 44369

This procedure involves the use of a thin, flexible tube called an endoscope to identify and remove any growths or polyps in the small intestine. It's a safe method to prevent possible complications related to these growths.

12 services11 patients

Imaging of digestive tract done from the inside of the digestive tract 91110

This procedure, known as an endoscopy, involves a small camera being passed into the digestive tract. It helps doctors to see the inside of your digestive system in detail. This can aid in diagnosing conditions or planning treatments. It's generally safe and can provide valuable information.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Sarasota Memorial Hospital

Acute Care Hospitals · Sarasota, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100087

Location1700 S Tamiami TrlSarasota, FL 34239 · Sarasota County

Emergency services Birthing friendly

Sarasota Memorial Hospital - Venice

Acute Care Hospitals · North Venice, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100359

Location2600 Laurel Rd ENorth Venice, FL 34275 · Sarasota County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34239 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

78.8/100

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

Scored as part of a group practice

Quality

79.37

Promoting Interoperability

Improvement Activities

Cost

50.81

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims4,686 services$0.32 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nihar Shah's NPI number?

The NPI number for Nihar Shah is 1356605018. It was assigned to this individual provider in the NPPES registry on June 27, 2012.

Where is Nihar Shah located?

Nihar Shah practices at 1852 Hillview St, Sarasota, FL 34239. The listed phone number is (941) 262-0400.

What is Nihar Shah's specialty?

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

Is Nihar Shah enrolled in Medicare?

Yes. Nihar 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 Nihar Shah accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Nihar 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 Nihar Shah affiliated with any hospitals?

According to CMS data, Nihar Shah is affiliated with Sarasota Memorial Hospital and Sarasota Memorial Hospital - Venice.

When was this NPI record last updated?

The NPPES record for Nihar Shah was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.