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

Q: 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.

Q: What is Riddhi Shah's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Riddhi Shah was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

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: October 18, 2026.

On this page

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, is affiliated with Lakeland Hospital, St Joseph, 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

Phone(269) 408-4265

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

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Other Identifiers 2

Medicaid1568504397MI

Medicare PINMI2051MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

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.

Medicare Billing Reassignments

Medicare enrollment records show Riddhi Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prosperity Medical, PLLC

Same address

Dermatology

3901 STONEGATE PARK STE 300
Saint Joseph, MI 49085

Reassigned Medicare billing, Michigan enrollment

NPI 1528837218 (269) 408-4265

Lakeland Medical Practices

3.0 mi

Internal Medicine

1234 NAPIER AVE
Saint Joseph, MI 49085

Reassigned Medicare billing, Michigan enrollment
724 clinicians in this Medicare group

NPI 1538397120 (269) 428-5007

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

Biopsy of related skin growth, each additional growth 11103

A biopsy of related skin growth is a procedure where a small piece of skin growth is removed for testing. If additional growths are identified, they may also be biopsied. This helps in diagnosing skin conditions and planning appropriate treatment.

87 services46 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

83 services78 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

78 services78 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

78 services74 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

55 services46 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

31 services28 patients

Destruction of precancer skin growth, 15 or more growths 17004

This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.

26 services25 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

19 services18 patients

Punch biopsy, first skin growth 11104

A punch biopsy is a procedure where a small, circular tool is used to remove a sample of skin tissue. This is usually done to test a skin growth for potential issues. You may feel a pinch, but discomfort is minimal. The area heals quickly.

16 services15 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

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

Quality

87.54

Promoting Interoperability

100

Improvement Activities

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.

DR. SAMUEL ERNEST LOGAN M.D., PHD

Plastic Surgery

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

AMERICAN LIMB & ORTHOPEDIC CO.

Prosthetic/Orthotic Supplier

3901 STONEGATE PARK, SUITE 200
SAINT JOSEPH, MI 49085

Berrien County (269) 408-0129

LAKELAND MEDICAL PRACTICES

Surgery (Plastic and Reconstructive Surgery)

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

GORDON SANGHI WON DDS

Dentist (General Practice)

3901 STONEGATE PARK, STE 100
SAINT JOSEPH, MI 49085

Berrien County (269) 428-9500

KAREN LYNNE POWERS MD

Plastic Surgery

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

CHRISTINA DIANE PAREIGIS MD

Physical Medicine & Rehabilitation

3901 STONEGATE PARK, SUITE #500
SAINT JOSEPH, MI 49085

Berrien County (269) 429-6700

LAKELAND MEDICAL PRACTICES

Dermatology

3901 STONEGATE PARK, SUITE 300
SAINT JOSEPH, MI 49085

Berrien County (269) 556-6000

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.

Which organizations bill Medicare for Riddhi Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riddhi Shah reassigns Medicare benefits to 2 organizations: Prosperity Medical, PLLC (Saint Joseph, MI) and Lakeland Medical Practices (Saint Joseph, MI). 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 Riddhi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 1 other insurer 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.

Is Riddhi Shah affiliated with any hospitals?

According to CMS data, Riddhi Shah is affiliated with Lakeland Hospital, St Joseph.

When was this NPI record last updated?

The NPPES record for Riddhi Shah was last updated on August 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.