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DR. HIRAL SHAH MD
NPI 1427460211
Pediatrics in Fairfax, VA

Active since May 28, 2014PECOS Enrolled
8260 WILLOW OAKS CORPORATE DR STE 400, FAIRFAX, VA 22031(703) 573-0504 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Feb 22, 2016 (2 updates tracked since 2016).

About Dr. Hiral Shah Md NPPES

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

DR. HIRAL SHAH MD (NPI 1427460211) is an individual pediatrics provider in Fairfax, Virginia, licensed in Michigan (4301112559) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (2014).

NPPES Registry Identity

NPI1427460211
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. HIRAL SHAHCredential: MD
Location Address8260 WILLOW OAKS CORPORATE DR STE 400Fairfax, VA 22031-4513
Mailing Address8260 Willow Oaks Corporate Dr Ste 400Fairfax, VA 22031-4513 · (703) 573-0504 · Fax (703) 573-4856
Phone(703) 573-0504
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2014
Enumeration DateMay 28, 2014
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1427460211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MI · 4301112559✔ Licensed in RI · LP03029
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Pediatric CardiologyTaxonomy 2080P0202X · License 101286398 (VA)
8260 WILLOW OAKS CORPORATE DR STE 400, Fairfax, VA 22031
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Hiral Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3173740719
PECOS Enrollment IDI20251023002262
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 Reassignment

Medicare enrollment records show Hiral Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
0.5 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • Also billed through NPI 1588717755 (Virginia)
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

KRISTEN ELIZABETH BARBIERI PA-C
Physician Assistant
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
KINJAL PARIKH MD
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
DR. HARISH SITARAM RUDRA D.O.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
SHERIF S TAWFIK M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
JENNIFER H LINDSEY M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
MARC DELANEY MD
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
PATRICK F CALLAHAN M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504
JASON FREDERICK GOLDBERG M.D.
Pediatrics (Pediatric Cardiology)
8260 WILLOW OAKS CORPORATE DR STE 400
FAIRFAX, VA 22031
Fairfax County (703) 573-0504

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 Hiral Shah's NPI number?

The NPI number for Hiral Shah is 1427460211. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Hiral Shah located?

Hiral Shah practices at 8260 Willow Oaks Corporate Dr Ste 400, Fairfax, VA 22031. The listed phone number is (703) 573-0504.

What is Hiral Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Hiral Shah enrolled in Medicare?

Yes. Hiral Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Hiral Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiral Shah reassigns Medicare benefits to Inova Health Care Services (Falls Church, VA). The 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 Hiral Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiral Shah accept?

Health plans from Oscar Health list Hiral 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.

When was this NPI record last updated?

The NPPES record for Hiral Shah was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.