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JESSICA PRAFUL SHAH MD
NPI 1396955233
Internal Medicine - Gastroenterology in Bedford, TX

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
79.87/100
CMS Quality Rating
1600 CENTRAL DR, SUITE 310, BEDFORD, TX 76022(817) 267-8470(817) 267-0396 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jessica Praful Shah Md NPPES

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

JESSICA PRAFUL SHAH MD (NPI 1396955233) is an individual gastroenterology provider in Bedford, Texas, licensed in Texas (M5496) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hurst-euless-bedford, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1396955233
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameJESSICA PRAFUL SHAHCredential: MD
Location Address1600 CENTRAL DR, SUITE 310Bedford, TX 76022-6000
Mailing Address7610 N Stemmons Fwy Ste 600Dallas, TX 75247-4228 · (214) 689-5960 · Fax (469) 713-8084
Phone(817) 267-8470
Fax(817) 267-0396
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 22, 2007
Last NPPES UpdateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1396955233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in TX · M5496
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1600 CENTRAL DR, Bedford, TX 76022
Open in Google Maps ↗

Other Identifiers 2

Other8CX379TX · Bcbstx
Medicaid2885105-01TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Jessica Praful 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 ID7113195678
PECOS Enrollment IDI20110727000708
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 13

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.
147 services129 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
96 services94 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
91 services90 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.
68 services66 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
41 services41 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.
41 services41 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hurst-Euless-Bedford

Acute Care Hospitals · Bedford, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450639
Location1600 Hospital ParkwayBedford, TX 76022 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76022 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
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

79.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.55
Promoting Interoperability100
Improvement Activities40
Cost64.36

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…
99%617 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,789 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
69%744 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%245 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
71%452 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%1,380 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
82%307 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
66%452 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%452 patients1/55-star benchmark: 79%
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.

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. GORDON D LUK M.D.
Internal Medicine (Gastroenterology)
1600 CENTRAL DR, #310
BEDFORD, TX 76022
Tarrant County (817) 267-8470
TARRANT MEDICAL IMAGING, LLC
Physiological Laboratory
1600 CENTRAL DR, STE 195
BEDFORD, TX 76022
Tarrant County (817) 267-0777
HEALTH IMAGING PARTNERS, LLC
Physiological Laboratory
1600 CENTRAL DR, SUITE #195
BEDFORD, TX 76022
Tarrant County (817) 803-0100
TEXAS PHYSICAL MEDICINE AND REHABILITATIN INSTITUTE INC
Clinic/Center (Physical Therapy)
1600 CENTRAL DR, SUITE # 156
BEDFORD, TX 76022
Tarrant County (214) 403-3813
DR. DAVID AWYN HALL M.D.
Internal Medicine (Gastroenterology)
1600 CENTRAL DR, #310
BEDFORD, TX 76022
Tarrant County (817) 267-8470
MADISON ALDERS
Behavior Analyst
1600 CENTRAL DR
BEDFORD, TX 76022
Tarrant County (469) 788-8288
MR. BRIAN DAVID READ MPT
Physical Therapist
1600 CENTRAL DR, SUITE 160
BEDFORD, TX 76022
Tarrant County (817) 355-0464
DR. ANDREW CHAO-YU SHEA M.D.
Internal Medicine (Gastroenterology)
1600 CENTRAL DR, SUITE 155
BEDFORD, TX 76022
Tarrant County (817) 267-8470

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 Jessica Shah's NPI number?

The NPI number for Jessica Shah is 1396955233. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Jessica Shah located?

Jessica Shah practices at 1600 Central Dr Suite 310, Bedford, TX 76022. The listed phone number is (817) 267-8470.

What is Jessica Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jessica Shah enrolled in Medicare?

Yes. Jessica 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 Jessica Shah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jessica 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 Jessica Shah affiliated with any hospitals?

According to CMS data, Jessica Shah is affiliated with Texas Health Harris Methodist Hurst-Euless-Bedford.

When was this NPI record last updated?

The NPPES record for Jessica Shah was last updated on September 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.