DR. PAYAL MITESH SHAH M.D.
NPI 1528222569
Family Medicine in Kent, WA
About Dr. Payal Mitesh Shah M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. PAYAL MITESH SHAH M.D. (NPI 1528222569) is an individual family medicine provider in Kent, Washington, licensed in Washington (MD60191665) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bellevue, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
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. Payal Mitesh 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.
Medicare Billing Reassignments
5Medicare enrollment records show Payal Shah reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kent, WA 98032
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Kent, WA 98030
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Auburn, WA 98001
- Reassigned Medicare billing, Washington enrollment
- 915 clinicians in this Medicare group
Seattle, WA 98101
- Reassigned Medicare billing, Washington enrollment
- 1,021 clinicians in this Medicare group
Olympia, WA 98502
- Reassigned Medicare billing, Washington enrollment
- 154 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 98032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
KENT, WA 98032
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 Payal Shah's NPI number?
The NPI number for Payal Shah is 1528222569. It was assigned to this individual provider in the NPPES registry on July 17, 2008. The provider is also known as Dr. Payal Kiran Shah MD.
Where is Payal Shah located?
Payal Shah practices at 1314 Central Ave S Ste 102, Kent, WA 98032. The listed phone number is (253) 397-8683.
What is Payal Shah's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Payal Shah enrolled in Medicare?
Yes. Payal 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 Payal Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Payal Shah reassigns Medicare benefits to 5 organizations: Onestop Medical Services LLC (Kent, WA), Multicare Health System (Kent, WA), South Sound Inpatient Physicians PLLC (Auburn, WA), Virginia Mason Medical Center (Seattle, WA) and Public Hospital District No 1 Of Mason County (Olympia, WA). 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 Payal Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Payal Shah accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Payal 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 Payal Shah was last updated on October 16, 2024. 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.
# Dr. Payal Mitesh Shah, M.D. · NPI 1528222569
Family Medicine physician in Kent, Washington. Individual provider, active in the CMS NPPES registry since July 17, 2008.
## Identity
- **NPI:** 1528222569 (Entity type: Individual)
- **Enumerated:** July 17, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD60191665 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1314 CENTRAL AVE S STE 102, Kent, WA 98032-7430
- **Phone:** (253) 397-8683 · **Fax:** (253) 342-4353
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Onestop Medical Services LLC (NPI 1720540529, Kent, WA); Multicare Health System (NPI 1811949928, Kent, WA); South Sound Inpatient Physicians PLLC (NPI 1215104443, Auburn, WA); Virginia Mason Medical Center (NPI 1003970989, Seattle, WA); Public Hospital District No 1 Of Mason County (NPI 1740642024, Olympia, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1528222569) · Data from the CMS NPPES public registry.