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

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: August 16, 2026.

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 Nyack 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
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

Other Identifiers 3

Medicare UPING83814NY
Medicaid01900187NY
Medicare ID-Type Unspecified45N761NY

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

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.

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

Hospital Affiliations CMS Care Compare 2

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

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.

Internal Medicine (Gastroenterology)
974 ROUTE 45, SUITE 2000
POMONA, NY 10970
Internal Medicine (Gastroenterology)
974 ROUTE 45, SUITE 2000
POMONA, NY 10970
Anesthesiology
974 ROUTE 45
POMONA, NY 10970
Advanced Practice Midwife
974 ROUTE 45, SUITE 1000
POMONA, NY 10970
Obstetrics & Gynecology
974 ROUTE 45, SUITE 1000
POMONA, NY 10970
Internal Medicine
974 ROUTE 45, SUITE 2000
POMONA, NY 10970
Internal Medicine (Gastroenterology)
974 ROUTE 45
POMONA, NY 10970
Internal Medicine (Gastroenterology)
974 ROUTE 45, SUITE 2000
POMONA, NY 10970

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.

Is Vipul Shah affiliated with any hospitals?

According to CMS data, Vipul Shah is affiliated with 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.