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

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: November 01, 2026.

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

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 maintains a secondary practice location in Concord.

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
Open in Google Maps ↗

Secondary Practice Location 1

Location 1246 Pleasant St., Memorial Building, West, Floor 2Concord, NH 03301-2548 · Phone (603) 224-4003 · Fax (603) 227-7526

Other Identifiers 1

Medicaid01422013NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Harvard Pilgrim Health Care, Taro Health 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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shriraj Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Hospital, Inc.
82 mi
Emergency Medicine
250 PLEASANT ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 636 clinicians in this Medicare group
NPI 1194778571 (603) 230-7429
Concord Hospital-Laconia
104 mi
Family Medicine
85 SPRING ST
Laconia, NH 03246
  • Reassigned Medicare billing, New Hampshire enrollment
  • 409 clinicians in this Medicare group
NPI 1053993741 (603) 524-3211

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 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
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.
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
Quality72.19
Promoting Interoperability100
Improvement Activities40

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)
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116
EDNA ILLEANA GOMEZ DUENAS FNP-C
Nurse Practitioner (Family)
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116
MRS. JENNIFER A ALFAWAZ RNP
Nurse Practitioner (Family)
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116
ELISA D REID MA, LCDP
Counselor (Addiction (Substance Use Disorder))
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116
MS. ADRINA RIGGINS LMHC
Counselor (Mental Health)
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116
MR. PERVEZ A KHATIB MD
Family Medicine
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116
KATHERINE YOUNG HOWARD NP
Nurse Practitioner (Gerontology)
2000 DIAMOND HILL RD STE 18
WOONSOCKET, RI 02895
Providence County (401) 470-7116

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 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.

Where is Shriraj Shah located?

Shriraj Shah practices at 2000 Diamond Hill Rd Ste 18, Woonsocket, RI 02895. The listed phone number is (401) 470-7116.

What is Shriraj Shah's specialty?

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

Is Shriraj Shah enrolled in Medicare?

Yes. Shriraj 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 Shriraj Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shriraj Shah reassigns Medicare benefits to 2 organizations: Concord Hospital, Inc. (Concord, NH) and Concord Hospital-Laconia (Laconia, NH). 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 Shriraj Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shriraj Shah accept?

Health plans from Ambetter from NH Healthy Families, Harvard Pilgrim Health Care, Taro Health and WellSense Health Plan list Shriraj 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 Shriraj Shah affiliated with any hospitals?

According to CMS data, Shriraj Shah is affiliated with Concord Hospital.

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.