SHAILJA SHAH M.D
NPI 1487912044
Internal Medicine - Hematology & Oncology in Terre Haute, IN

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
3702 S 4TH ST, TERRE HAUTE, IN 47802(812) 234-0098 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 1, 2018, Mar 16, 2017 (2 updates tracked since 2017).

About Shailja Shah M.d NPPES

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

SHAILJA SHAH M.D (NPI 1487912044) is an individual hematology & oncology provider in Terre Haute, Indiana, licensed in Indiana (01077843A) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1487912044
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSHAILJA SHAHCredential: M.D
Location Address3702 S 4TH STTerre Haute, IN 47802-5507
Mailing Address3702 S 4th StTerre Haute, IN 47802-5507 · (812) 234-0098
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 1, 2012
Last NPPES UpdateMay 1, 20182 updates tracked since enumeration
NPI 1487912044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses Licensed in IN · 01077843A Licensed in NJ · 25MA09750200
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01077843A (IN)
3702 S 4TH ST, Terre Haute, IN 47802

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

Shailja 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 ID3072870104
PECOS Enrollment IDI20211025000057
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.

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.
92 services33 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.
85 services26 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services19 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.
22 services15 patients

Hospital Affiliations CMS Care Compare

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47802 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
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
78%100 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

Internal Medicine (Hematology & Oncology)
3702 S 4TH ST
TERRE HAUTE, IN 47802
Internal Medicine (Hematology & Oncology)
3702 S 4TH ST
TERRE HAUTE, IN 47802
Internal Medicine (Hematology & Oncology)
3702 S 4TH ST
TERRE HAUTE, IN 47802
Internal Medicine (Hematology & Oncology)
3702 S 4TH ST
TERRE HAUTE, IN 47802

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 Shailja Shah's NPI number?

The NPI number for Shailja Shah is 1487912044. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Shailja Shah located?

Shailja Shah practices at 3702 S 4th St, Terre Haute, IN 47802. The listed phone number is (812) 234-0098.

What is Shailja Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shailja Shah enrolled in Medicare?

Yes. Shailja 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 Shailja Shah affiliated with any hospitals?

According to CMS data, Shailja Shah is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Shailja Shah was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.