HIREN P SHAH MD
NPI 1437271426
Internal Medicine - Cardiovascular Disease in Columbus, GA

Active since April 03, 2007PECOS EnrolledAccepts Medicare Assignment
90.45/100
CMS Quality Rating
2300 MANCHESTER EXPY STE 1003, COLUMBUS, GA 31904(706) 243-2333(706) 324-5695 Get Directions Write a Review

NPPES record last updated: May 8, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hiren P Shah Md NPPES

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

HIREN P SHAH MD (NPI 1437271426) is an individual cardiovascular disease provider in Columbus, Georgia, licensed in Georgia (062433) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Piedmont Columbus Regional Midtown, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1437271426
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameHIREN P SHAHCredential: MD
Location Address2300 MANCHESTER EXPY STE 1003Columbus, GA 31904-6877
Mailing Address2300 Manchester Expy Ste 1003Columbus, GA 31904-6877 · (706) 243-2333 · Fax (706) 324-5695
Fax(706) 324-5695
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 8, 2020
NPPES CertifiedMay 8, 2020
NPI 1437271426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in GA · 062433 Licensed in AZ · 36927
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2300 MANCHESTER EXPY STE 1003, Columbus, GA 31904

Other Identifiers 2

Medicaid112286780GA
Medicaid168482AL

Accepted 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

Hiren P 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 ID4981703410
PECOS Enrollment IDI20090730000168
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 38

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
3,620 services29 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.
1,201 services692 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
892 services644 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
556 services139 patients
Technetium tc-99m sestamibi, diagnostic, per study dose A9500
Technetium Tc-99m Sestamibi is a diagnostic test used to create images of your heart or breast tissues. It involves a safe radioactive substance injection that helps doctors to detect any abnormalities or changes in these tissues.
463 services232 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.
275 services244 patients

Hospital Affiliations CMS Care Compare 3

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

Piedmont Columbus Regional Midtown

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110064
Location710 Center StreetColumbus, GA 31901 · Muscogee County
Emergency services Birthing friendly

St Francis Hospital- Emory Healthcare

Acute Care Hospitals · Columbus, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110129
Location2122 Manchester ExpresswayColumbus, GA 31995 · Muscogee County
Emergency services Birthing friendly

Piedmont Columbus Regional Northside

Acute Care Hospitals · Columbus, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110200
Location100 Frist CourtColumbus, GA 31909 · Muscogee County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31904 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
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.

90.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.69
Promoting Interoperability97
Improvement Activities40
Cost88.83

Reported Quality Measures

Advance Care Plan
92%1,810 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
33%64 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
48%1,754 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
81%1,044 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
82%84 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
91%5,583 patients4/55-star benchmark: 100%
e-Prescribing
98%883 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
42%1,559 patients2/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
70%20 patients3/55-star benchmark: 100%
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
67%21 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,759 patients
Patients screened: 100% · 1,759 patients
69%252 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
76%1,140 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%1,682 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,629 patients
Patients totalRate: 0% · 1,629 patients
0%1,629 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Cardiovascular Disease)
2300 MANCHESTER EXPY STE 1003
COLUMBUS, GA 31904
Nurse Practitioner (Family)
2300 MANCHESTER EXPY STE 1003
COLUMBUS, GA 31904
Internal Medicine (Cardiovascular Disease)
2300 MANCHESTER EXPY STE 1003
COLUMBUS, GA 31904
Nurse Practitioner (Gerontology)
2300 MANCHESTER EXPY STE 1003
COLUMBUS, GA 31904
Internal Medicine (Cardiovascular Disease)
2300 MANCHESTER EXPY STE 1003
COLUMBUS, GA 31904

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 Hiren Shah's NPI number?

The NPI number for Hiren Shah is 1437271426. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Hiren Shah located?

Hiren Shah practices at 2300 Manchester Expy Ste 1003, Columbus, GA 31904. The listed phone number is (706) 243-2333.

What is Hiren Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Hiren Shah enrolled in Medicare?

Yes. Hiren 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 Hiren Shah accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Hiren 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 Hiren Shah affiliated with any hospitals?

According to CMS data, Hiren Shah is affiliated with Piedmont Columbus Regional Midtown, St Francis Hospital- Emory Healthcare and Piedmont Columbus Regional Northside.

When was this NPI record last updated?

The NPPES record for Hiren Shah was last updated on May 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.