NIKHIL SHAH M.D.
NPI 1467830406
Internal Medicine - Clinical Cardiac Electrophysiology in Worcester, MA

Q: What is Nikhil Shah's NPI number?

The NPI number for Nikhil Shah is 1467830406. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Q: What is Nikhil Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Nikhil Shah was last updated on August 27, 2023. 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.

Active since May 11, 2015PECOS EnrolledAccepts Medicare Assignment

123 SUMMER ST, WORCESTER, MA 01608(508) 368-3130(508) 368-3133 Get Directions Write a Review

NPPES record last updated: August 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 27, 2023, Mar 1, 2022, Jul 1, 2021 (3 updates tracked since 2021).

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About Nikhil Shah M.d. NPPES

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

NIKHIL SHAH M.D. (NPI 1467830406) is an individual clinical cardiac electrophysiology provider in Worcester, Massachusetts, licensed in Massachusetts (288039) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with St Vincent Hospital, and maintains a secondary practice location in Burlington.

NPPES Registry Identity

NPI1467830406

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameNIKHIL SHAHCredential: M.D.

Location Address123 SUMMER STWorcester, MA 01608-1216

Mailing Address123 Summer St Ste 290nWorcester, MA 01608-1216 · (508) 368-3130 · Fax (508) 368-3133

Phone(508) 368-3130

Fax(508) 368-3133

Sole ProprietorNo

Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2015

Enumeration DateMay 11, 2015

Last NPPES UpdateAugust 27, 20233 updates tracked since enumeration

NPPES CertifiedAugust 27, 2023

✔ NPI 1467830406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

License✔ Licensed in MA · 288039

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal MedicineTaxonomy 207R00000X · License TRN22053 (FL)

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License TRN22053 (MA)

123 SUMMER ST, Worcester, MA 01608

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Secondary Practice Location 1

Location 141 Mall RdBurlington, MA 01805-0001 · Phone (781) 744-5182

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Nikhil Shah M.d. 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 ID3678889227

PECOS Enrollment IDI20230802003712

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 17

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.

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.

419 services360 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

392 services277 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.

122 services88 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

64 services64 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.

49 services27 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.

43 services41 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

40 services40 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

31 services31 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

31 services16 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

27 services27 patients

Heart rhythm review and interpretation of continous external ekg over 8-15 days 93248

This service involves wearing a device for 8-15 days that continuously records your heart's electrical activity. It helps in identifying irregular heart rhythms. The recorded data is then reviewed and interpreted by a healthcare professional for any abnormalities.

24 services24 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

24 services24 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

20 services16 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.

17 services15 patients

Insertion of pacemaker and upper and lower heart chamber electrode 33208

A pacemaker insertion is a procedure where a small device, called a pacemaker, is implanted under your skin. This device uses electrical pulses to prompt the heart to beat at a normal rate. Electrodes are placed in the upper and lower chambers of your heart to help regulate your heartbeat.

16 services16 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

12 services12 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

St Vincent Hospital

Acute Care Hospitals · Worcester, MA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number220176

Location123 Summer StreetWorcester, MA 01608 · Worcester County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01608 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

MADAIAH LOKESHWARI M.D.

Hospitalist

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6849

DR. JENNIFER LYNNE PAPPALARDO DPM

Podiatrist (Foot & Ankle Surgery)

123 SUMMER ST, DEPARTMENT OF PODIATRY
WORCESTER, MA 01608

Worcester County (508) 363-7390

DR. MADHAV SHARMA MD

Internal Medicine

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5438

YESHASWINI KATKOORI MD

Student in an Organized Health Care Education/Training Program

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DANIELLE MAY PELOQUIN

Nurse Anesthetist, Certified Registered

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

DR. YAYAN CHEN M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-6049

FARRICY & KRAFT LLP

Obstetrics & Gynecology (Obstetrics)

123 SUMMER ST, SUITE 560
WORCESTER, MA 01608

Worcester County (508) 363-6100

KEITH A BEALS PA

Physician Assistant

123 SUMMER ST
WORCESTER, MA 01608

Worcester County (508) 363-5000

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 Nikhil Shah's NPI number?

The NPI number for Nikhil Shah is 1467830406. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Nikhil Shah located?

Nikhil Shah practices at 123 Summer St, Worcester, MA 01608. The listed phone number is (508) 368-3130.

What is Nikhil Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Nikhil Shah enrolled in Medicare?

Yes. Nikhil 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 Nikhil Shah accept?

Health plans from Anthem Blue Cross and Blue Shield list Nikhil 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 Nikhil Shah affiliated with any hospitals?

According to CMS data, Nikhil Shah is affiliated with St Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Nikhil Shah was last updated on August 27, 2023. 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.