1. Home
  2. Directory
  3. New Mexico
  4. Albuquerque
  5. Pediatrics
  6. NPI Profile

PRIYA VALLABH SHAH M.D.
NPI 1528599727
Pediatrics in Albuquerque, NM

Active since March 21, 2017PECOS Enrolled
8308 CONSTITUTION PL NE, ALBUQUERQUE, NM 87110(505) 883-9507 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 11, 2023, Jun 28, 2020, Jan 30, 2020 and 1 more (4 updates tracked since 2017).

About Priya Vallabh Shah M.d. NPPES

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

PRIYA VALLABH SHAH M.D. (NPI 1528599727) is an individual pediatrics provider in Albuquerque, New Mexico, licensed in New Mexico (MD-20200048) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1528599727
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NamePRIYA VALLABH SHAHCredential: M.D.
Location Address8308 CONSTITUTION PL NEAlbuquerque, NM 87110-7637
Mailing Address8308 Constitution Pl NeAlbuquerque, NM 87110-7637
Phone(505) 883-9507
Sole ProprietorNo
Enumeration DateMarch 21, 2017
Last NPPES UpdateSeptember 25, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2025
✔ NPI 1528599727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NM · MD-20200048
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License TL.0006689 (CO), MD2020-0048 (NM)
8308 CONSTITUTION PL NE, Albuquerque, NM 87110
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priya Vallabh 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.

Medicare Billing Reassignment

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

Presbyterian Healthcare Services
4.6 mi
Internal Medicine
5901 HARPER DR NE
Albuquerque, NM 87109
  • Reassigned Medicare billing, New Mexico enrollment
  • 2,331 clinicians in this Medicare group
NPI 1104802354 (505) 823-8556

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 87110 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$96.38 typical visit price
range $17.00 – $135.35
Typical copayment $24.09 (range $4.25 – $33.83)
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 14

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

FREDERICK DUFF GRAMBORT M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333
ALISON MARSHALL LARSON CNP
Nurse Practitioner
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
JOURNEY PEDIATRICS PC
Clinic/Center (Primary Care)
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
ZOE ELIZABETH HOWELL
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
KATHLEEN JOAN DARRIGO M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333
ALWYN AJITRAJ KOIL M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 883-9570
ALBUQUERQUE PEDIATRIC ASSOCIATES, LTD.
Clinic/Center (Primary Care)
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333
LORETTA LEWIS MCNAMARA M.D.
Pediatrics
8308 CONSTITUTION PL NE
ALBUQUERQUE, NM 87110
Bernalillo County (505) 293-1333

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 Priya Shah's NPI number?

The NPI number for Priya Shah is 1528599727. It was assigned to this individual provider in the NPPES registry on March 21, 2017.

Where is Priya Shah located?

Priya Shah practices at 8308 Constitution Pl NE, Albuquerque, NM 87110. The listed phone number is (505) 883-9507.

What is Priya Shah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Priya Shah enrolled in Medicare?

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

Which organization bills Medicare for Priya Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priya Shah reassigns Medicare benefits to Presbyterian Healthcare Services (Albuquerque, NM). 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 Priya Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Priya Shah was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.