DR. SHRIRAJ CHANDRAKANT SHAH M.D.
NPI 1376529230
Family Medicine in Woonsocket, RI

Q: What is Shriraj Shah's NPI number?

The NPI number for Shriraj Shah is 1376529230. It was assigned to this individual provider in the NPPES registry on December 21, 2005.

Q: What is Shriraj Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shriraj Shah was last updated on November 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 21, 2005PECOS EnrolledAccepts Medicare Assignment

89.36/100

CMS Quality Rating

2000 DIAMOND HILL RD STE 18, WOONSOCKET, RI 02895(401) 470-7116(401) 386-2462 Get Directions Write a Review

NPPES record last updated: November 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 14, 2022, Nov 9, 2020, Feb 28, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Dr. Shriraj Chandrakant Shah M.d. NPPES

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

DR. SHRIRAJ CHANDRAKANT SHAH M.D. (NPI 1376529230) is an individual family medicine provider in Woonsocket, Rhode Island, licensed in New Hampshire (22425) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1376529230

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. SHRIRAJ CHANDRAKANT SHAHCredential: M.D.

Location Address2000 DIAMOND HILL RD STE 18Woonsocket, RI 02895-1554

Mailing Address30 W Monroe St Ste 1200Chicago, IL 60603-2420 · (312) 733-9730 · Fax (773) 866-8014

Phone(401) 470-7116

Fax(401) 386-2462

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateDecember 21, 2005

Last NPPES UpdateNovember 14, 20224 updates tracked since enumeration

NPPES CertifiedNovember 14, 2022

✔ NPI 1376529230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NH · 22425✔ Licensed in NY · 192319

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2000 DIAMOND HILL RD STE 18, Woonsocket, RI 02895

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Other Identifiers 1

Medicaid01422013NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care, WellSense Health Plan.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. Shriraj Chandrakant 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 ID5890737688

PECOS Enrollment IDI20220614000180

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 3

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 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.

37 services35 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.

32 services30 patients

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

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Concord Hospital

Acute Care Hospitals · Concord, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300001

Location250 Pleasant StConcord, NH 03301 · Merrimack County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02895 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

$90.48 typical visit price

range $58.57 – $177.03

Typical copayment $22.62 (range $14.64 – $44.25)

Most-billed visit code 99203

Established Patient

$103.10 typical visit price

range $18.92 – $144.38

Typical copayment $25.77 (range $4.73 – $36.09)

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.

89.36/100

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

Scored through an Alternative Payment Model

Quality

72.19

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 7

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

MS. KAREN WILMOT-CHIN N.P

Nurse Practitioner (Adult Health)