NIHARIKA SHAH MD
NPI 1497460620
Pathology - Anatomic Pathology in Birmingham, AL

Active since January 23, 2023PECOS Enrolled
619 19TH ST S, BIRMINGHAM, AL 35233(205) 934-4011 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Niharika Shah Md NPPES

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

NIHARIKA SHAH MD (NPI 1497460620) is an individual anatomic pathology provider in Birmingham, Alabama, licensed in Alabama (53734) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bethesda, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497460620
Entity TypeIndividualFemale
Primary Taxonomy207ZP0101X
Provider Legal NameNIHARIKA SHAHCredential: MD
Location Address619 19TH ST SBirmingham, AL 35233-1900
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 23, 2023
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1497460620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
Licenses✔ Licensed in AL · 53734✔ Licensed in DC · --
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
619 19TH ST S, Birmingham, AL 35233

Secondary Practice Location 1

Location 110 Center Dr # 3N248Bethesda, MD 20892-0004 · Phone (202) 699-6095

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niharika Shah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850865783
PECOS Enrollment IDI20260701003686
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 Reassignment

Medicare enrollment records show Niharika Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ambulatory Surgical
2000 6TH AVE SOUTH
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35233 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Emergency Medicine (Medical Toxicology)
619 19TH ST S
BIRMINGHAM, AL 35233
Surgery
619 19TH ST S
BIRMINGHAM, AL 35233
Registered Nurse
619 19TH ST S
BIRMINGHAM, AL 35233
Physician Assistant
619 19TH ST S
BIRMINGHAM, AL 35233
Emergency Medicine
619 19TH ST S
BIRMINGHAM, AL 35233
Hospitalist
619 19TH ST S
BIRMINGHAM, AL 35233
Radiology (Diagnostic Radiology)
619 19TH ST S
BIRMINGHAM, AL 35233
Internal Medicine (Hematology)
619 19TH ST S
BIRMINGHAM, AL 35233

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 Niharika Shah's NPI number?

The NPI number for Niharika Shah is 1497460620. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Niharika Shah located?

Niharika Shah practices at 619 19th St S, Birmingham, AL 35233. The listed phone number is (205) 934-4011.

What is Niharika Shah's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Niharika Shah enrolled in Medicare?

Yes. Niharika Shah is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Niharika Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Niharika Shah reassigns Medicare benefits to University Of Alabama Health Services Foundation, PC (Birmingham, AL). The 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 Niharika Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Niharika Shah accept?

Health plans from Blue Cross and Blue Shield of Alabama list Niharika 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 Niharika Shah was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.