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DR. SURENDRA J SHAH M.D.
NPI 1528088689
Internal Medicine in Merrillville, IN

Active since July 20, 2006PECOS Enrolled
74.63/100
CMS Quality Rating
5825 BROADWAY, SUITE A, MERRILLVILLE, IN 46410(219) 884-1400(219) 884-1453 Get Directions Write a Review

NPPES record last updated: December 11, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Surendra J Shah M.d. NPPES

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

DR. SURENDRA J SHAH M.D. (NPI 1528088689) is an individual internal medicine provider in Merrillville, Indiana, licensed in Indiana (01032180) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528088689
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SURENDRA J SHAHCredential: M.D.
Location Address5825 BROADWAY, SUITE AMerrillville, IN 46410-2687
Mailing Address5825 Broadway Ste AMerrillville, IN 46410-2664 · (219) 884-1400 · Fax (219) 884-1453
Phone(219) 884-1400
Fax(219) 884-1453
Sole ProprietorNo
Enumeration DateJuly 20, 2006
Last NPPES UpdateDecember 11, 2020
NPPES CertifiedDecember 11, 2020
✔ NPI 1528088689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IN · 01032180
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5825 BROADWAY, Merrillville, IN 46410
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Other Identifiers 1

Medicaid100169840AIN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Surendra J Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
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.

74.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.06
Improvement Activities40
Cost62.42

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
62%285 patients3/55-star benchmark: 92%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
87%242 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
97%3,484 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%9,837 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
27%84 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%2,491 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%925 patients4/55-star benchmark: 99%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
34%693 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%925 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
31%925 patients3/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers49 claims185 services$5.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers20 claims35 services$0.96 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$18.07 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$4.91 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.45 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$3.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

MRS. DARRIAN RENEE SULLIVAN DNP
Nurse Practitioner (Family)
5825 BROADWAY
MERRILLVILLE, IN 46410
Lake County (219) 689-3199
JOANNA NEWMAN
Nurse Practitioner
5825 BROADWAY, SUITE B
MERRILLVILLE, IN 46410
Lake County (219) 981-9000
FAMILY MATTERS INSTITUTE, INC.
Social Worker (Clinical)
5825 BROADWAY, SUITE D
MERRILLVILLE, IN 46410
Lake County (219) 980-4330
SURENDRA J SHAH PC
Internal Medicine (Geriatric Medicine)
5825 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 884-1400
PRATIMA M MEHTA M.D.
Family Medicine
5825 BROADWAY, SUITE A
MERRILLVILLE, IN 46410
Lake County (219) 884-1400
MRS. GENEVA OSAWE LCSW, LMFT
Social Worker (Clinical)
5825 BROADWAY, SUITE D
MERRILLVILLE, IN 46410
Lake County (219) 980-4330

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 Surendra Shah's NPI number?

The NPI number for Surendra Shah is 1528088689. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Surendra Shah located?

Surendra Shah practices at 5825 Broadway Suite A, Merrillville, IN 46410. The listed phone number is (219) 884-1400.

What is Surendra Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Surendra Shah enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Surendra Shah was last updated on December 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.