NIRAJ SHIRISH SHAH M.D.
NPI 1386968022
Ophthalmology in Toledo, OH

Q: What is Niraj Shah's NPI number?

The NPI number for Niraj Shah is 1386968022. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Q: What is Niraj Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Niraj Shah was last updated on November 3, 2023. 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 March 24, 2010PECOS EnrolledAccepts Medicare Assignment

2865 N REYNOLDS RD, SUITE 170, TOLEDO, OH 43615(419) 578-2020(419) 539-6323 Get Directions Write a Review

NPPES record last updated: November 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Niraj Shirish Shah M.d. NPPES

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

NIRAJ SHIRISH SHAH M.D. (NPI 1386968022) is an individual ophthalmology provider in Toledo, Ohio, licensed in Ohio (35123889) and active in the NPI registry since March 2010. He is enrolled in Medicare PECOS, is affiliated with University Of Toledo Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1386968022

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameNIRAJ SHIRISH SHAHCredential: M.D.

Location Address2865 N REYNOLDS RD, SUITE 170Toledo, OH 43615-2068

Mailing Address2865 N Reynolds Rd, Suite 170Toledo, OH 43615-2068 · (419) 578-2020 · Fax (419) 539-6323

Phone(419) 578-2020

Fax(419) 539-6323

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateMarch 24, 2010

Last NPPES UpdateNovember 3, 2023

✔ NPI 1386968022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in OH · 35123889

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

2865 N REYNOLDS RD, Toledo, OH 43615

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Other Identifiers 1

Medicaid0106080OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Niraj Shirish 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 ID5092932319

PECOS Enrollment IDI20140811001739

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 15

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.

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

4,680 services20 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

2,872 services197 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

2,694 services1,028 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

1,511 services286 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.

1,049 services670 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

534 services521 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.

473 services352 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.

239 services239 patients

Unclassified biologics J3590

Unclassified biologics are a type of treatment derived from living organisms. They can include a wide range of substances, such as vaccines, blood components, or genes, used to prevent or treat diseases. Each is specifically designed to interact with the body's natural defenses to promote healing.

214 services58 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

29 services29 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

20 services20 patients

Repair of detached retina with drainage and removal of eye fluid between lens and retina 67108

This procedure addresses a detached retina, a serious eye condition. It involves draining fluid from between the lens and retina, allowing the retina to reattach. Then, the eye fluid is removed to prevent future detachments. It's a crucial step for vision restoration.

20 services16 patients

Removal of eye fluid (vitreous) between lens and retina 67036

This procedure, known as a vitrectomy, involves removing some or all of the vitreous humor, the clear gel-like substance in the eye. It's done to treat various eye conditions, like retinal detachment or macular hole. The aim is to improve or stabilize vision. It's performed under local or general anesthesia.

17 services16 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

14 services11 patients

Complex repair of detached retina and drainage of eye fluid between lens and retina 67113

This procedure involves reattaching your detached retina, a vital layer at the back of your eye. Simultaneously, excess fluid between your lens and retina is drained. This helps restore vision and prevent further eye damage.

13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Toledo Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number360048

Location3000 Arlington AvenueToledo, OH 43699 · Lucas County

Emergency services

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360112

Location2213 Cherry StreetToledo, OH 43608 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

DR. JOHN VERNON HOUGHTALING MD

Orthopaedic Surgery (Hand Surgery)

2865 N REYNOLDS RD, BUILDING A
TOLEDO, OH 43615

Lucas County (419) 578-7200

PROMEDICA CENTRAL PHYSICIANS, LLC

Orthopaedic Surgery

2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615

Lucas County (419) 578-4260

ANTHONY FROGAMENI III M.D.

Orthopaedic Surgery (Sports Medicine)

2865 N REYNOLDS RD, SUITE 160
TOLEDO, OH 43615

Lucas County (419) 578-7200

CHARLES KING DABBS MD

Ophthalmology (Retina Specialist)

2865 N REYNOLDS RD, SUITE 230
TOLEDO, OH 43615

Lucas County (419) 578-4367

RECONSTRUCTIVE AND AESTHETIC SURGERY CENTER LTD

Clinic/Center (Ambulatory Surgical)

2865 N REYNOLDS RD, STE 250
TOLEDO, OH 43615

Lucas County (419) 534-6551

MRS. NICOLE MARIE TOMLINSON ATC

Specialist/Technologist (Athletic Trainer)

2865 N REYNOLDS RD, SUITE 110
TOLEDO, OH 43615

Lucas County (419) 578-7530

JOHN R SCHUNEMAN M.A.,CCC-A

Audiologist

2865 N REYNOLDS RD, 120
TOLEDO, OH 43615

Lucas County (419) 578-7557

MARY E DERCK ATC

Specialist/Technologist (Athletic Trainer)

2865 N REYNOLDS RD, STE. 110
TOLEDO, OH 43615

Lucas County (419) 578-7530

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 Niraj Shah's NPI number?

The NPI number for Niraj Shah is 1386968022. It was assigned to this individual provider in the NPPES registry on March 24, 2010.

Where is Niraj Shah located?

Niraj Shah practices at 2865 N Reynolds Rd Suite 170, Toledo, OH 43615. The listed phone number is (419) 578-2020.

What is Niraj Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Niraj Shah enrolled in Medicare?

Yes. Niraj 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 Niraj Shah accept?

Health plans from Blue Care Network of Michigan, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and CareSource and 2 other insurers list Niraj 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 Niraj Shah affiliated with any hospitals?

According to CMS data, Niraj Shah is affiliated with University Of Toledo Medical Center, Promedica Toledo Hospital and Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Niraj Shah was last updated on November 3, 2023. 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.