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DR. ASHINI SHAH M.D.
NPI 1376521625
Internal Medicine in Tucson, AZ

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
97.75/100
CMS Quality Rating
4729 E SUNRISE DR, #398, TUCSON, AZ 85718(520) 469-8011(520) 469-8021 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ashini Shah M.d. NPPES

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

DR. ASHINI SHAH M.D. (NPI 1376521625) is an individual internal medicine provider in Tucson, Arizona, licensed in Arizona (30381) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1376521625
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ASHINI SHAHCredential: M.D.
Location Address4729 E SUNRISE DR, #398Tucson, AZ 85718-4534
Mailing Address6200 N La Cholla Blvd, #206Tucson, AZ 85741-3529 · (520) 469-8011 · Fax (520) 469-8021
Phone(520) 469-8011
Fax(520) 469-8021
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJanuary 6, 2006
Last NPPES UpdateMay 10, 2016
✔ NPI 1376521625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in AZ · 30381
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4729 E SUNRISE DR, Tucson, AZ 85718
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Other Identifiers 2

Medicare ID-Type Unspecified70817AZ
Medicare UPINH64475AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..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. Ashini 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 ID1355362674
PECOS Enrollment IDI20051214000946
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.

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.
296 services134 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.
182 services104 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
163 services159 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.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85718 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost92.52

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
94%80 patients4/55-star benchmark: 100%
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.

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers19 claims19 services$67.55 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 4

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

DR. ANN ELIZABETH JONES M.D.
Anesthesiology
4729 E SUNRISE DR, # 226
TUCSON, AZ 85718
Pima County (520) 490-2111
REHAB SOLUTIONS, LLC
Internal Medicine (Geriatric Medicine)
4729 E SUNRISE DR, #126
TUCSON, AZ 85718
Pima County (520) 258-8950
APRIL JOANNA PERKINS FNP-C
Nurse Practitioner (Family)
4729 E SUNRISE DR, #126
TUCSON, AZ 85718
Pima County (520) 664-8624
SLEEP MEDICINE, LLC
Internal Medicine (Sleep Medicine)
4729 E SUNRISE DR, # 184
TUCSON, AZ 85718
Pima County (520) 290-6626

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 Ashini Shah's NPI number?

The NPI number for Ashini Shah is 1376521625. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Ashini Shah located?

Ashini Shah practices at 4729 E Sunrise Dr #398, Tucson, AZ 85718. The listed phone number is (520) 469-8011.

What is Ashini Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ashini Shah enrolled in Medicare?

Yes. Ashini 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 Ashini Shah accept?

Health plans from Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Ashini 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.

When was this NPI record last updated?

The NPPES record for Ashini Shah was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.