DR. NISHANT SHAH MD
NPI 1457601106
Internal Medicine - Cardiovascular Disease in Durham, NC

Active since September 10, 2012PECOS EnrolledAccepts Medicare Assignment
2301 ERWIN RD, DURHAM, NC 27705(919) 684-1284 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Nishant Shah Md NPPES

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

DR. NISHANT SHAH MD (NPI 1457601106) is an individual cardiovascular disease provider in Durham, North Carolina, licensed in North Carolina (2019-01672) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Wake Forest University School Of Medicine (2013).

NPPES Registry Identity

NPI1457601106
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. NISHANT SHAHCredential: MD
Location Address2301 ERWIN RDDurham, NC 27705-4699
Mailing Address2301 Erwin Rd Box 3126Durham, NC 27710-0001 · Fax (919) 862-5104
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 2013
Enumeration DateSeptember 10, 2012
Last NPPES UpdateAugust 22, 2019
NPI 1457601106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NC · 2019-01672
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.
2301 ERWIN RD, Durham, NC 27705

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

Dr. Nishant 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 ID1850510504
PECOS Enrollment IDI20191108000311
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 19

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
261 services256 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.
196 services181 patients
Heart muscle strain imaging 93356
Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.
181 services179 patients
3d radiographic procedure with computerized image postprocessing 76377
A 3D radiographic procedure with computerized image postprocessing is a high-tech imaging test. It uses X-rays to create detailed 3D images of the body. The computerized postprocessing further enhances these images for more precise diagnosis and treatment planning.
142 services140 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
118 services42 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
109 services108 patients

Hospital Affiliations CMS Care Compare 2

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Duke Regional Hospital

Acute Care Hospitals · Durham, NC
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340155
Location3643 N Roxboro StreetDurham, NC 27704 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27705 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

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.

Radiology (Diagnostic Radiology)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Psychiatry)
2301 ERWIN RD
DURHAM, NC 27705
Anesthesiology
2301 ERWIN RD
DURHAM, NC 27705
Student in an Organized Health Care Education/Training Program
2301 ERWIN RD
DURHAM, NC 27705
Nurse Practitioner (Family)
2301 ERWIN RD
DURHAM, NC 27705
Psychiatry & Neurology (Neurology)
2301 ERWIN RD
DURHAM, NC 27705
Surgery (Vascular Surgery)
2301 ERWIN RD
DURHAM, NC 27705
Emergency Medicine
2301 ERWIN RD
DURHAM, NC 27705

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 Nishant Shah's NPI number?

The NPI number for Nishant Shah is 1457601106. It was assigned to this individual provider in the NPPES registry on September 10, 2012.

Where is Nishant Shah located?

Nishant Shah practices at 2301 Erwin Rd, Durham, NC 27705. The listed phone number is (919) 684-1284.

What is Nishant Shah's specialty?

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

Is Nishant Shah enrolled in Medicare?

Yes. Nishant 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 Nishant Shah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Nishant 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 Nishant Shah affiliated with any hospitals?

According to CMS data, Nishant Shah is affiliated with Duke University Hospital and Duke Regional Hospital.

When was this NPI record last updated?

The NPPES record for Nishant Shah was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.