VIPUL H SHAH MD
NPI 1417020181
Internal Medicine - Gastroenterology in Pomona, NY

Q: What is Vipul Shah's NPI number?

The NPI number for Vipul Shah is 1417020181. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Vipul Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Vipul Shah was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 November 17, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

974 ROUTE 45, SUITE 2000, POMONA, NY 10970(845) 354-3700(845) 354-5573 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Vipul H Shah Md NPPES

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

VIPUL H SHAH MD (NPI 1417020181) is an individual gastroenterology provider in Pomona, New York, licensed in New York (202222) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1994).

NPPES Registry Identity

NPI1417020181

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameVIPUL H SHAHCredential: MD

Location Address974 ROUTE 45, SUITE 2000Pomona, NY 10970-3520

Mailing Address974 Route 45, Suite 2000Pomona, NY 10970-3520 · (845) 354-3700 · Fax (845) 354-5573

Phone(845) 354-3700

Fax(845) 354-5573

Sole ProprietorNo

Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1994

Enumeration DateNovember 17, 2006

Last NPPES UpdateJuly 12, 2007

✔ NPI 1417020181 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 NY · 202222

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.

974 ROUTE 45, Pomona, NY 10970

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Other Identifiers 3

Medicare UPING83814NY

Medicaid01900187NY

Medicare ID-Type Unspecified45N761NY

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

Vipul H 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 ID2769651694

PECOS Enrollment IDI20111230000018

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

Medicare enrollment records show Vipul Shah reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Nyack Hospital

7.5 mi

Neurology

160 N MIDLAND AVE
Nyack, NY 10960

Reassigned Medicare billing, New York enrollment
119 clinicians in this Medicare group

NPI 1073881835 (845) 348-6607

Highland Medical P.C.

7.5 mi

General Practice

160 N MIDLAND AVE
Nyack, NY 10960

Reassigned Medicare billing, New York enrollment
41 clinicians in this Medicare group

NPI 1376600304 (845) 348-2985

Bon Secours Charity Health System Medical Group, P.C.

18 mi

Internal Medicine

20 GRAND ST, 3RD FLOOR
Warwick, NY 10990

Reassigned Medicare billing, New York enrollment
176 clinicians in this Medicare group

NPI 1487694345 (845) 987-3906

Gastrointestinal Care Of Long Island PLLC

45 mi

Gastroenterology

187 VETERANS BLVD
Massapequa, NY 11758

Reassigned Medicare billing, New York enrollment
223 clinicians in this Medicare group

NPI 1265571863 (516) 795-5523

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 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.

270 services196 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.

165 services136 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.

160 services156 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

117 services101 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.

94 services93 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.

78 services78 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

77 services77 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

67 services67 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.

67 services66 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

46 services43 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

36 services36 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

16 services15 patients

Hospital Affiliations CMS Care Compare 3

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310012

Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County

Emergency services Birthing friendly

Nyack Hospital

Acute Care Hospitals · Nyack, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330104

Location160 North Midland AvenueNyack, NY 10960 · Rockland County

Birthing friendly

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330158

Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10970 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

75/100

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

Scored as part of a group practice

Other Providers at the Same Location NPPES 13

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

ELLIOT A HELLER MD

Internal Medicine (Gastroenterology)

974 ROUTE 45, SUITE 2000
POMONA, NY 10970

Rockland County (845) 354-3700

ALFRED C HOLLANDER MD

Internal Medicine (Gastroenterology)

974 ROUTE 45, SUITE 2000
POMONA, NY 10970

Rockland County (845) 354-3700

MEDICAL ANCILLARY SERVICES, PLLC

Anesthesiology

974 ROUTE 45
POMONA, NY 10970

Rockland County (845) 354-3700

ETANA BERKOWITZ CNM

Advanced Practice Midwife

974 ROUTE 45, SUITE 1000
POMONA, NY 10970

Rockland County (845) 354-1113

RAMAPO VALLEY OBGYN PC

Obstetrics & Gynecology

974 ROUTE 45, SUITE 1000
POMONA, NY 10970

Rockland County (845) 354-1113

DEBORHA M CAPUTO CS-FNP

Internal Medicine

974 ROUTE 45, SUITE 2000
POMONA, NY 10970

Rockland County (845) 354-3700

YARON DOV LANGMAN M.D.

Internal Medicine (Gastroenterology)

974 ROUTE 45
POMONA, NY 10970

Rockland County (845) 354-3700

VIYADA SARABANCHONG MD

Internal Medicine (Gastroenterology)

974 ROUTE 45, SUITE 2000
POMONA, NY 10970

Rockland County (845) 354-3700

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 Vipul Shah's NPI number?

The NPI number for Vipul Shah is 1417020181. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Where is Vipul Shah located?

Vipul Shah practices at 974 Route 45 Suite 2000, Pomona, NY 10970. The listed phone number is (845) 354-3700.

What is Vipul Shah's specialty?

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

Is Vipul Shah enrolled in Medicare?

Yes. Vipul 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 Vipul Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vipul Shah reassigns Medicare benefits to 4 organizations: Montefiore Nyack Hospital (Nyack, NY), Highland Medical P.C. (Nyack, NY), Bon Secours Charity Health System Medical Group, P.C. (Warwick, NY) and Gastrointestinal Care Of Long Island PLLC (Massapequa, NY). 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 Vipul Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Vipul Shah affiliated with any hospitals?

According to CMS data, Vipul Shah is affiliated with Valley Hospital, Nyack Hospital and Good Samaritan Hospital Of Suffern.

When was this NPI record last updated?

The NPPES record for Vipul Shah was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.