DR. RIKIN D SHAH D.O.
NPI 1487096368
Emergency Medicine in Valparaiso, IN

Active since July 22, 2013PECOS EnrolledAccepts Medicare Assignment
81.12/100
CMS Quality Rating
85 E US HIGHWAY 6, VALPARAISO, IN 46383(219) 983-8300 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 24, 2022, Jan 4, 2022 (2 updates tracked since 2022).

About Dr. Rikin D Shah D.o. NPPES

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

DR. RIKIN D SHAH D.O. (NPI 1487096368) is an individual emergency medicine provider in Valparaiso, Indiana, licensed in Indiana (02005097A) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Crown Point, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2013).

NPPES Registry Identity

NPI1487096368
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. RIKIN D SHAHCredential: D.O.
Location Address85 E US HIGHWAY 6Valparaiso, IN 46383-8947
Mailing Address85 E Us Highway 6Valparaiso, IN 46383-8947 · (219) 983-8300
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2013
Enumeration DateJuly 22, 2013
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1487096368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IN · 02005097A
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
85 E US HIGHWAY 6, Valparaiso, IN 46383

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rikin D Shah D.o. 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 ID2567771744
PECOS Enrollment IDI20170721000729
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Rikin Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
3800 SAINT MARY DR.
Valparaiso, IN 46383
  • Reassigned Medicare billing, Indiana enrollment
  • 598 clinicians in this Medicare group
Emergency Medicine
1007 LINCOLNWAY
La Porte, IN 46350
  • Reassigned Medicare billing, Indiana enrollment
  • 101 clinicians in this Medicare group
Emergency Medicine
20201 CRAWFORD AVE
Olympia Fields, IL 60461
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
Emergency Medicine
7950 W JEFFERSON BLVD
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Indiana enrollment
  • Medicare enrollment name: Emergency Professionals Of Indiana PC
  • 404 clinicians in this Medicare group
Emergency Medicine
1141 HOSPITAL DR NW
Corydon, IN 47112
  • Reassigned Medicare billing, Indiana enrollment
  • 214 clinicians in this Medicare group
Internal Medicine
1141 HOSPITAL DR NW
Corydon, IN 47112
  • Reassigned Medicare billing, Indiana enrollment
  • 107 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
507 services480 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
159 services155 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.
144 services139 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Crown Point

Acute Care Hospitals · Crown Point, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150126
Location12750 Saint Francis DriveCrown Point, IN 46307 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46383 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

81.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.83
Improvement Activities40

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.

Registered Nurse
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Emergency Medicine
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Internal Medicine (Critical Care Medicine)
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Student in an Organized Health Care Education/Training Program
85 E US HIGHWAY 6
VALPARAISO, IN 46383
Radiology (Vascular & Interventional Radiology)
85 E US HIGHWAY 6, DEPARTMENT OF RADIOLOGY
VALPARAISO, IN 46383
Nurse Practitioner
85 E US HIGHWAY 6
VALPARAISO, IN 46383

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 Rikin Shah's NPI number?

The NPI number for Rikin Shah is 1487096368. It was assigned to this individual provider in the NPPES registry on July 22, 2013.

Where is Rikin Shah located?

Rikin Shah practices at 85 E Us Highway 6, Valparaiso, IN 46383. The listed phone number is (219) 983-8300.

What is Rikin Shah's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rikin Shah enrolled in Medicare?

Yes. Rikin 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.

Which organizations bill Medicare for Rikin Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rikin Shah reassigns Medicare benefits to 6 organizations: Cep America LLC (Valparaiso, IN), North Indiana Emergency Physicians, LLP (La Porte, IN), Cepamerica Illinois LLP (Olympia Fields, IL), Emergency Professionals Of Indiana, P.C. (Fort Wayne, IN), Clarksville Emergency Group, PC (Corydon, IN) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rikin Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Rikin Shah affiliated with any hospitals?

According to CMS data, Rikin Shah is affiliated with Franciscan Health Crown Point.

When was this NPI record last updated?

The NPPES record for Rikin Shah was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.