HITESH SHAH
NPI 1437282324
Internal Medicine - Nephrology in New Hyde Park, NY

Active since March 13, 2007PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
410 LAKEVILLE ROAD, LIJ KIDNEY DIS. & HYPERTENSION, NEW HYDE PARK, NY 11042(516) 465-5260 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hitesh Shah NPPES

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

HITESH SHAH (NPI 1437282324) is an individual nephrology provider in New Hyde Park, New York, licensed in New York (208117) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1437282324
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameHITESH SHAH
Location Address410 LAKEVILLE ROAD, LIJ KIDNEY DIS. & HYPERTENSIONNew Hyde Park, NY 11042
Mailing Address410 Lakeville Road, Lij Kidney Dis. & HypertensionNew Hyde Park, NY 11042 · (516) 465-5260
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMarch 13, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1437282324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 208117
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
410 LAKEVILLE ROAD, New Hyde Park, NY 11042

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

Hitesh Shah 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 ID2567545155
PECOS Enrollment IDI20080205000493
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 9

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.
239 services102 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
134 services22 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.
77 services30 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
73 services38 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
63 services20 patients
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.
53 services37 patients

Hospital Affiliations CMS Care Compare 2

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims210 services$0.27 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 10

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

Durable Medical Equipment & Medical Supplies (Customized Equipment)
410 LAKEVILLE ROAD, SUITE310
NEW HYDE PARK, NY 11042
Orthopaedic Surgery
410 LAKEVILLE ROAD, SUITE 209
NEW HYDE PARK, NY 11042
Pediatrics
410 LAKEVILLE ROAD, LIJMC-DEPT OF PEDIATRICS
NEW HYDE PARK, NY 11042
Internal Medicine
410 LAKEVILLE ROAD
LAKE SUCCESS, NY 11042
Nurse Practitioner (Adult Health)
410 LAKEVILLE ROAD, SUITE 206
LAKE SUCCESS, NY 11042
Internal Medicine (Pulmonary Disease)
410 LAKEVILLE ROAD, SUITES 105 & 107
NEW HYDE PARK, NY 11042
Orthopaedic Surgery
410 LAKEVILLE ROAD, SUITE 303
NEW HYDE PARK, NY 11042
Internal Medicine (Pulmonary Disease)
410 LAKEVILLE ROAD, LIJMC - PULMONARY - CRITICAL CARE AND SLEEP MED.
NEW HYDE PARK, NY 11042

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 Hitesh Shah's NPI number?

The NPI number for Hitesh Shah is 1437282324. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Hitesh Shah located?

Hitesh Shah practices at 410 Lakeville Road Lij Kidney Dis. & Hypertension, New Hyde Park, NY 11042. The listed phone number is (516) 465-5260.

What is Hitesh Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Hitesh Shah enrolled in Medicare?

Yes. Hitesh 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 Hitesh Shah affiliated with any hospitals?

According to CMS data, Hitesh Shah is affiliated with North Shore University Hospital and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Hitesh Shah was last updated on July 8, 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.