RIDDHI JAY SHAH D.O.
NPI 1568504397
Dermatology in Saint Joseph, MI

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085(269) 408-4265(269) 556-6020 Get Directions Write a Review

NPPES record last updated: August 19, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Riddhi Jay Shah D.o. NPPES

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

RIDDHI JAY SHAH D.O. (NPI 1568504397) is an individual dermatology provider in Saint Joseph, Michigan, licensed in Michigan (5101020760) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1568504397
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameRIDDHI JAY SHAHCredential: D.O.
Location Address3901 STONEGATE PARK, SUITE 300Saint Joseph, MI 49085-9137
Mailing Address3901 Stonegate Park, Suite 300Saint Joseph, MI 49085-9137 · (269) 408-4265 · Fax (269) 556-6020
Fax(269) 556-6020
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 19, 2016
NPI 1568504397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MI · 5101020760
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 58.004442 (OH)
Also ListedPhysician AssistantTaxonomy 363A00000X · License C0003431 (MD)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 011440 (NY)
3901 STONEGATE PARK, Saint Joseph, MI 49085

Other Identifiers 2

Medicaid1568504397MI
Medicare PINMI2051MI

Accepted Insurance

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

Riddhi Jay Shah D.o. 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 ID244330173
PECOS Enrollment IDI20160823002359
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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
912 services175 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.
516 services394 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
255 services218 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
184 services164 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
152 services136 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
145 services145 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Prosthetic/Orthotic Supplier
3901 STONEGATE PARK, SUITE 200
SAINT JOSEPH, MI 49085
Surgery (Plastic and Reconstructive Surgery)
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Dentist (General Practice)
3901 STONEGATE PARK, STE 100
SAINT JOSEPH, MI 49085
Plastic Surgery
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085
Physical Medicine & Rehabilitation
3901 STONEGATE PARK, SUITE #500
SAINT JOSEPH, MI 49085
Dermatology
3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

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 Riddhi Shah's NPI number?

The NPI number for Riddhi Shah is 1568504397. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Riddhi Shah located?

Riddhi Shah practices at 3901 Stonegate Park Suite 300, Saint Joseph, MI 49085. The listed phone number is (269) 408-4265.

What is Riddhi Shah's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Riddhi Shah enrolled in Medicare?

Yes. Riddhi 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.

What insurance does Riddhi Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Riddhi 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 Riddhi Shah was last updated on August 19, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.