1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

TRUSHIL GAURAV SHAH M.D.
NPI 1417260399
Internal Medicine - Critical Care Medicine in Philadelphia, PA

Active since July 20, 2010PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
1331 E WYOMING AVE, PHILADELPHIA, PA 19124(215) 707-1622(215) 707-0943 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: May 10, 2026, Apr 30, 2026, Apr 22, 2026 and 2 more (5 updates tracked since 2016).

About Trushil Gaurav Shah M.d. NPPES

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

TRUSHIL GAURAV SHAH M.D. (NPI 1417260399) is an individual critical care medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD487199C) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1417260399
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameTRUSHIL GAURAV SHAHCredential: M.D.
Location Address1331 E WYOMING AVEPhiladelphia, PA 19124-3808
Mailing Address3509 N Broad StPhiladelphia, PA 19140-4105 · (215) 707-9211
Phone(215) 707-1622
Fax(215) 707-0943
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 20, 2010
Last NPPES UpdateMay 10, 20265 updates tracked since enumeration
NPPES CertifiedMay 10, 2026
✔ NPI 1417260399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in PA · MD487199C✔ Licensed in FL · ME176331
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD487199C (PA)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 14659320 (WI)
1331 E WYOMING AVE, Philadelphia, PA 19124
Open in Google Maps ↗

Secondary Practice Location 1

Location 11350 Hickory StMelbourne, FL 32901-3224 · Phone (321) 434-4225

Other Identifiers 2

MedicaidPENDINGFL
OtherXH197FL · Hfmg

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas.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

Trushil Gaurav 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 ID5890924492
PECOS Enrollment IDI20160620000725, I20260324002818, I20260427003183, I20260507002747
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.

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.
211 services51 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
149 services140 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.
55 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
40 services38 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
39 services20 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
24 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100019
Location1350 S Hickory StMelbourne, FL 32901 · Brevard County
Emergency services Birthing friendly

Cape Canaveral Hospital

Acute Care Hospitals · Cocoa Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100177
Location701 W Cocoa Beach CausewayCocoa Beach, FL 32932 · Brevard County
Emergency services Birthing friendly

Viera Hospital

Acute Care Hospitals · Melbourne, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100315
Location8745 N Wickham RdMelbourne, FL 32940 · Brevard County
Emergency services
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450044
Location6201 Harry Hines BlvdDallas, TX 75390 · Dallas County
Emergency services Birthing friendly

Reedsburg Area Medical Center

Critical Access Hospitals · Reedsburg, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521351
Location2000 N Dewey AveReedsburg, WI 53959 · Sauk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19124 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

Referred Medical Equipment & Supplies CMS DME claims 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers25 claims29 services$12.01 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
8 suppliers27 claims31 services$70.11 avg. paid by Medicare
Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg J7686
DME-Drugs Administered Through DME · category DG004N
2 suppliers14 claims392 services$550.65 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers14 claims14 services$24.19 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 20

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

JENNIFER L NGUYEN PHARMD
Pharmacist
1331 E WYOMING AVE, PHARMACY & NUTRITION SHOPPE
PHILADELPHIA, PA 19124
Philadelphia County (215) 537-7626
AKHIL CHOPRA
Internal Medicine (Hematology & Oncology)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (847) 746-4333
LAUREN BROWN RRT
Respiratory Therapist, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 537-7440
SMITH'S PHARMACY INC
Pharmacy
1331 E WYOMING AVE
PHILA, PA 19124
Philadelphia County (215) 537-3000
MS. CAROL F ROTH L.C.S.W.
Social Worker (Clinical)
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 537-7432
KAREEMAH PALACE PARKER
Dietitian, Registered
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 707-1622
PHILIP HOPKINS MCLEAN MD
Anesthesiology
1331 E WYOMING AVE
PHILADELPHIA, PA 19124
Philadelphia County (215) 707-3326
JOSEPH R DONLY
Physical Therapist
1331 E WYOMING AVE, SUITE 4120
PHILADELPHIA, PA 19124
Philadelphia County (215) 831-1170

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 Trushil Shah's NPI number?

The NPI number for Trushil Shah is 1417260399. It was assigned to this individual provider in the NPPES registry on July 20, 2010.

Where is Trushil Shah located?

Trushil Shah practices at 1331 E Wyoming Ave, Philadelphia, PA 19124. The listed phone number is (215) 707-1622.

What is Trushil Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Trushil Shah enrolled in Medicare?

Yes. Trushil 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 Trushil Shah accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc. and Blue Cross and Blue Shield of Texas list Trushil 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 Trushil Shah affiliated with any hospitals?

According to CMS data, Trushil Shah is affiliated with Holmes Regional Medical Center, Cape Canaveral Hospital, Viera Hospital, Ut Southwestern University Hospital - William P. Clements Jr. and Reedsburg Area Medical Center.

When was this NPI record last updated?

The NPPES record for Trushil Shah was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.