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BHAVI SHAH DNP
NPI 1437596442
Nurse Practitioner - Adult Health in Oklahoma City, OK

Active since May 30, 2013PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
800 STANTON L YOUNG BLVD # 5400, OKLAHOMA CITY, OK 73104(405) 271-4742 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Bhavi Shah Dnp NPPES

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

BHAVI SHAH DNP (NPI 1437596442) is an individual adult health provider in Oklahoma City, Oklahoma, licensed in Oklahoma (83662) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1437596442
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameBHAVI SHAHCredential: DNP
Location Address800 STANTON L YOUNG BLVD # 5400Oklahoma City, OK 73104-5018
Mailing Address800 Stanton L Young Blvd Ste 5400Oklahoma City, OK 73104-5018 · (405) 271-4742 · Fax (405) 271-2619
Phone(405) 271-4742
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 30, 2013
Last NPPES UpdateAugust 31, 2021
NPPES CertifiedAugust 31, 2021
✔ NPI 1437596442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OK · 83662
800 STANTON L YOUNG BLVD # 5400, Oklahoma City, OK 73104
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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

Bhavi Shah Dnp 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 ID2860623261
PECOS Enrollment IDI20140328000384
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.

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.
80 services43 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services21 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.
17 services11 patients
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.
15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

Other Providers at the Same Location NPPES 3

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

DR. PARASURAM MELARCODE KRISHNAMOORTHY M.D
Internal Medicine (Interventional Cardiology)
800 STANTON L YOUNG BLVD # 5400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4742
MUSTAFA ATAR MD
Internal Medicine (Cardiovascular Disease)
800 STANTON L YOUNG BLVD # 5400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4742
ROOPESH SAI JAKULLA MD
Internal Medicine (Cardiovascular Disease)
800 STANTON L YOUNG BLVD # 5400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4742

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 Bhavi Shah's NPI number?

The NPI number for Bhavi Shah is 1437596442. It was assigned to this individual provider in the NPPES registry on May 30, 2013.

Where is Bhavi Shah located?

Bhavi Shah practices at 800 Stanton L Young Blvd # 5400, Oklahoma City, OK 73104. The listed phone number is (405) 271-4742.

What is Bhavi Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Bhavi Shah enrolled in Medicare?

Yes. Bhavi 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 Bhavi Shah accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Bhavi 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 Bhavi Shah was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.