MIHIR S SHAH MD
NPI 1366885451
Urology in Philadelphia, PA

Q: What is Mihir Shah's NPI number?

The NPI number for Mihir Shah is 1366885451. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Q: What is Mihir Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Mihir Shah was last updated on April 25, 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.

Active since April 09, 2013PECOS EnrolledAccepts Medicare Assignment

833 CHESTNUT ST STE 703, PHILADELPHIA, PA 19107(215) 955-1000 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 25, 2024, Sep 23, 2020, Sep 4, 2020 and 2 more (5 updates tracked since 2019).

On this page

About Mihir S Shah Md NPPES

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

MIHIR S SHAH MD (NPI 1366885451) is an individual urology provider in Philadelphia, Pennsylvania, licensed in Delaware (C1-0013711) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in Sewell.

NPPES Registry Identity

NPI1366885451

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameMIHIR S SHAHCredential: MD

Location Address833 CHESTNUT ST STE 703Philadelphia, PA 19107-4409

Mailing Address1025 Walnut St Ste 1100Philadelphia, PA 19107-5001 · (215) 955-1416

Phone(215) 955-1000

Sole ProprietorNo

Medical School CMSRutgers New Jersey Medical SchoolGraduated 2013

Enumeration DateApril 9, 2013

Last NPPES UpdateApril 25, 20245 updates tracked since enumeration

NPPES CertifiedFebruary 22, 2024

✔ NPI 1366885451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in DE · C1-0013711✔ Licensed in CA · A160936✔ Licensed in PA · MD455613✔ Licensed in NJ · 25MA12170700

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

833 CHESTNUT ST STE 703, Philadelphia, PA 19107

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Secondary Practice Location 1

Location 1354 Hurffville Crosskeys Rd Bldg 3Sewell, NJ 08080-3552 · Phone (844) 542-2273

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Mihir S 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 ID3678705936

PECOS Enrollment IDI20200914002823

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 Reassignments

Medicare enrollment records show Mihir Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jefferson University Physicians

0.1 mi

General Practice

33 S. 9TH STREET
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
1,739 clinicians in this Medicare group

NPI 1326093675 (215) 955-0000

Einstein Practice Plan Inc

4.7 mi

Psychiatry

4200 MONUMENT AVE
Philadelphia, PA 19131

Reassigned Medicare billing, Pennsylvania enrollment
1,205 clinicians in this Medicare group

NPI 1144272733 (215) 456-7000

Kennedy Medical Group P.C.

11 mi

Psychologist

707 HADDONFIELD BERLIN RD
Voorhees, NJ 08043

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Kennedy Medical Group Practice, P.C.
438 clinicians in this Medicare group

NPI 1609314004 (856) 857-6920

Abington Memorial Hospital

12 mi

Urology

1200 OLD YORK RD, GROUND WIDENER
Abington, PA 19001

Reassigned Medicare billing, Pennsylvania enrollment
7 clinicians in this Medicare group

NPI 1922334697 (215) 481-6253

Christiana Care Health Services Inc

22 mi

Nuclear Medicine

161 WILMINGTON W CHESTER PIKE, CONCORD HEALTH CENTER
Chadds Ford, PA 19317

Reassigned Medicare billing, Pennsylvania and Delaware enrollments
Also billed through NPI 1619951068 (Delaware)
186 clinicians in this Medicare group

NPI 1023445889 (610) 361-1150

Usc Care Medical Group, Inc

2,392 mi

General Practice

1520 SAN PABLO ST
Los Angeles, CA 90033

Reassigned Medicare billing, California enrollment
2,445 clinicians in this Medicare group

NPI 1902846306 (323) 442-5955

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 22

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.

147 services110 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.

101 services64 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

75 services60 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

51 services43 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

46 services39 patients

Instillation of anti-cancer drug into bladder 51720

This procedure involves introducing a medication into the bladder to help fight off harmful cells. A small tube is gently placed into the area where urine exits the body. Through this tube, the medication is delivered directly into the bladder for maximum effectiveness.

44 services26 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

41 services36 patients

Imaging of urinary tract following injection of a contrast agent 74420

This procedure involves injecting a contrast agent into your body to help highlight the urinary tract during imaging. The contrast agent makes your urinary tract more visible on the images, providing detailed information about its structure and function. This can help in diagnosing any potential issues.

29 services24 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.

29 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.

25 services25 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

25 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

23 services23 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.

19 services19 patients

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.

17 services16 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

16 services14 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

16 services15 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.

16 services16 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

15 services15 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

15 services14 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

14 services12 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

14 services14 patients

Complete laser fragmentation of prostate including control of bleeding using an endoscope 52649

This procedure involves using a special scope and a laser to break down an enlarged gland in the lower body, improving comfort and function. It also includes managing any bleeding that may occur during this process.

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.

Jefferson Stratford Hospital

Acute Care Hospitals · Stratford, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310086

Location18 East Laurel RoadStratford, NJ 08084 · Camden County

Emergency services Birthing friendly

Thomas Jefferson University Hospital

Acute Care Hospitals · Philadelphia, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390174

Location111 South 11th StreetPhiladelphia, PA 19107 · Philadelphia County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

Most-billed visit code 99213

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 10

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

PAUL HWAN CHUNG M.D.

Urology

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

DR. ABHAY A SINGH M.D.

Urology

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

COURTNEY E CAPELLA MD

Urology

833 CHESTNUT ST STE 703, DEPARTMENT OF UROLOGY
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

ALEX UHR

Urology

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

DR. IRVIN H. HIRSCH M.D.

Urology

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

MISS DARLENE MARIE BEWICK CRNP

Nurse Practitioner (Adult Health)

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

DR. ANTHONY THOMAS TOKARSKI M.D.

Urology

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

DR. ALANA MURPHY MD

Urology (Urogynecology and Reconstructive Pelvic Surgery)

833 CHESTNUT ST STE 703
PHILADELPHIA, PA 19107

Philadelphia County (215) 955-1000

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 Mihir Shah's NPI number?

The NPI number for Mihir Shah is 1366885451. It was assigned to this individual provider in the NPPES registry on April 9, 2013.

Where is Mihir Shah located?

Mihir Shah practices at 833 Chestnut St Ste 703, Philadelphia, PA 19107. The listed phone number is (215) 955-1000.

What is Mihir Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Mihir Shah enrolled in Medicare?

Yes. Mihir 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 organizations bill Medicare for Mihir Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mihir Shah reassigns Medicare benefits to 6 organizations: Jefferson University Physicians (Philadelphia, PA), Einstein Practice Plan Inc (Philadelphia, PA), Kennedy Medical Group P.C. (Voorhees, NJ), Abington Memorial Hospital (Abington, PA), Christiana Care Health Services Inc (Chadds Ford, PA) and 1 more organization, listed in the Medicare section above. Each 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 Mihir Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mihir Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and AmeriHealth Caritas Next list Mihir 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 Mihir Shah affiliated with any hospitals?

According to CMS data, Mihir Shah is affiliated with Jefferson Stratford Hospital and Thomas Jefferson University Hospital.

When was this NPI record last updated?

The NPPES record for Mihir Shah was last updated on April 25, 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.