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NIRALI SHAH MD
NPI 1427628924
Internal Medicine in Hartford, CT

Active since June 28, 2021PECOS EnrolledAccepts Medicare Assignment
80 SEYMOUR ST, HARTFORD, CT 06102(860) 972-0549 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2024, Jun 28, 2021 (2 updates tracked since 2021).

About Nirali Shah Md NPPES

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

NIRALI SHAH MD (NPI 1427628924) is an individual internal medicine provider in Hartford, Connecticut, licensed in Connecticut (76017) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1427628924
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNIRALI SHAHCredential: MD
Location Address80 SEYMOUR STHartford, CT 06102-8000
Mailing Address211 Lafayette Rd Apt 205Syracuse, NY 13205-2912 · (908) 720-8523
Phone(860) 972-0549
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJune 28, 2021
Last NPPES UpdateJune 19, 20242 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1427628924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CT · 76017
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
80 SEYMOUR ST, Hartford, CT 06102
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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

Nirali 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 ID9234674821
PECOS Enrollment IDI20240708001988
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 4

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 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.
237 services100 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
39 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services15 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.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06102 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

SUPARNA DUTTA M.D.
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2085
ANN T ZOGBAUM RD
Dietitian, Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-2697
DR. NISHA DHANABALSAMY MBBS
Internal Medicine
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-0549
MATTHEW BAXTER PA
Physician Assistant (Surgical)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALISON COUTURE WYSE CRNA
Nurse Anesthetist, Certified Registered
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
ALICE DIFRANCESCO MD
Anesthesiology
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 545-5000
MICHELLE MAY ROE APRN
Nurse Practitioner (Family)
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-2824
DR. VESAL YAGHOOBI MD
Student in an Organized Health Care Education/Training Program
80 SEYMOUR ST
HARTFORD, CT 06102
Capitol Planning Region (860) 972-6113

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 Nirali Shah's NPI number?

The NPI number for Nirali Shah is 1427628924. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Nirali Shah located?

Nirali Shah practices at 80 Seymour St, Hartford, CT 06102. The listed phone number is (860) 972-0549.

What is Nirali Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nirali Shah enrolled in Medicare?

Yes. Nirali 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.

When was this NPI record last updated?

The NPPES record for Nirali Shah was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.