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VATSALA NIRANJAN SHAH MD
NPI 1376535328
Internal Medicine in Oklahoma City, OK

Active since August 16, 2005PECOS EnrolledAccepts Medicare Assignment
92.54/100
CMS Quality Rating
4301 NW 63RD ST, #205, OKLAHOMA CITY, OK 73116(405) 242-6494(405) 242-6496 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vatsala Niranjan Shah Md NPPES

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

VATSALA NIRANJAN SHAH MD (NPI 1376535328) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (18903) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Norman Regional, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1376535328
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameVATSALA NIRANJAN SHAHCredential: MD
Location Address4301 NW 63RD ST, #205Oklahoma City, OK 73116-1549
Mailing Address1225 W Main, #205Norman, OK 73069-6851 · (405) 292-5500 · Fax (405) 292-5505
Phone(405) 242-6494
Fax(405) 242-6496
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 7, 2016
✔ NPI 1376535328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OK · 18903
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.
4301 NW 63RD ST, Oklahoma City, OK 73116
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Other Identifiers 2

Medicare UPING46164
Medicaid100138360COK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and more.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

Vatsala Niranjan 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 ID3779610530
PECOS Enrollment IDI20100427000660
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 7

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.
951 services231 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
170 services170 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
164 services31 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
79 services79 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.
41 services34 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Norman Regional

Acute Care Hospitals · Norman, OK
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370008
Location3300 Healthplex PkwyNorman, OK 73072 · Cleveland County
Emergency services Birthing friendly

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Ssm Health St Anthony Hospital - Oklahoma City

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370037
Location1000 North Lee AvenueOklahoma City, OK 73101 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73116 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

92.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost75.16

Reported Quality Measures

Breast Cancer Screening
100%286 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
100%572 patients5/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
100%38 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
1%218 patients5/55-star benchmark: 98%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
100%239 patients5/55-star benchmark: 98%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
100%242 patients5/55-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 14

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers27 claims42 services$4.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers14 claims15 services$0.76 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
5 suppliers54 claims54 services$31.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers32 claims32 services$69.15 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers35 claims94 services$26.00 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
3 suppliers11 claims56 services$15.95 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 12

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

JAMES FRANK WALL MD
Obstetrics & Gynecology
4301 NW 63RD ST, STE 205
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 917-9094
FIRST IMPRESSIONS DENTISTRY
Dentist (General Practice)
4301 NW 63RD ST, 300
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 879-0000
MATTHEW RYAN KORSTJENS LPC
Counselor (Mental Health)
4301 NW 63RD ST, SUITE 100
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 242-2969
INNOVATIVE MEDICAL ASSOCIATES PLLC
Internal Medicine
4301 NW 63RD ST, SUITE 205
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 242-6494
CRYSTAL MARIE HARRINGTON
Counselor (Pastoral)
4301 NW 63RD ST
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 532-9267
SAMANTHA DANIELLE CARLTON MS, LMFT
Marriage & Family Therapist
4301 NW 63RD ST, STE.100
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 242-2969
REHABCARE GROUP EAST, LLC
Clinic/Center (Rehabilitation)
4301 NW 63RD ST, SUITE 304
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 858-8737
JOSEPH PRICE FALLIN DDS
Dentist (General Practice)
4301 NW 63RD ST, SUITE 303
OKLAHOMA CITY, OK 73116
Oklahoma County (405) 848-2886

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 Vatsala Shah's NPI number?

The NPI number for Vatsala Shah is 1376535328. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Vatsala Shah located?

Vatsala Shah practices at 4301 NW 63rd St #205, Oklahoma City, OK 73116. The listed phone number is (405) 242-6494.

What is Vatsala Shah's specialty?

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

Is Vatsala Shah enrolled in Medicare?

Yes. Vatsala 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 Vatsala Shah accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health and UnitedHealthcare list Vatsala 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 Vatsala Shah affiliated with any hospitals?

According to CMS data, Vatsala Shah is affiliated with Norman Regional, Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, Ssm Health St Anthony Hospital - Oklahoma City and O U Medical Center.

When was this NPI record last updated?

The NPPES record for Vatsala Shah was last updated on January 7, 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.