DR. TILAK UPENDRA SHAH M.D.
NPI 1568629228
Internal Medicine - Gastroenterology in Richmond, VA

Q: What is Tilak Shah's NPI number?

The NPI number for Tilak Shah is 1568629228. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Tilak Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Tilak Shah was last updated on December 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment

89.89/100

CMS Quality Rating

1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GASTROENTEROLOGY, RICHMOND, VA 23298(804) 828-4060(804) 828-5348 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Tilak Upendra Shah M.d. NPPES

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

DR. TILAK UPENDRA SHAH M.D. (NPI 1568629228) is an individual gastroenterology provider in Richmond, Virginia, licensed in Virginia (0101256808) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Cleveland Clinic Martin North Hospital, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (2006).

NPPES Registry Identity

NPI1568629228

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. TILAK UPENDRA SHAHCredential: M.D.

Location Address1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GASTROENTEROLOGYRichmond, VA 23298-5051

Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619

Phone(804) 828-4060

Fax(804) 828-5348

Sole ProprietorNo

Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2006

Enumeration DateMay 20, 2008

Last NPPES UpdateDecember 8, 2014

✔ NPI 1568629228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in VA · 0101256808

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1250 E MARSHALL ST, Richmond, VA 23298

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, AvMed and more.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

Dr. Tilak Upendra 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.

PECOS PAC ID7315185998

PECOS Enrollment IDI20220711001912

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 15

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.

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.

76 services67 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

62 services62 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

39 services36 patients

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

20 services17 patients

Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43242

This procedure involves using an ultrasound to guide a needle to specific areas in the esophagus, stomach, or upper small bowel. A flexible endoscope is used to reach these areas. The needle collects a small sample for testing.

18 services18 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

18 services17 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.

16 services15 patients

Exam of common bile and/or pancreatic duct using a flexible endoscope 43273

This procedure, known as an ERCP, involves a flexible tube with a camera, called an endoscope, being gently passed down your throat to examine your common bile or pancreatic duct. It helps doctors diagnose and treat conditions affecting these areas.

15 services15 patients

Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope through mouth 43237

This procedure involves a flexible tube with a camera and ultrasound device, inserted through the mouth to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like inflammation, tumors, or other abnormalities.

14 services14 patients

Ultrasound guided needle aspiration or biopsy of esophagus using a flexible endoscope 43238

An ultrasound guided needle aspiration or biopsy of the esophagus involves using a flexible tube with a camera (endoscope) to view your esophagus. An ultrasound device on the endoscope helps to guide a needle to take a small tissue sample for testing. This is a safe, minimally invasive procedure.

14 services14 patients

Removal of large bowel tissue using a flexible endoscope 45390

This procedure, known as a colonoscopy, involves using a flexible endoscope to examine and potentially remove tissue from the large intestine. The endoscope allows the doctor to view the bowel lining directly and remove any abnormal tissue for further analysis.

13 services13 patients

Removal of tissue lining of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43254

This procedure involves the use of a flexible tube with a light and camera, called an endoscope, to remove tissue from your esophagus, stomach, or upper small bowel. It's typically done to diagnose or treat certain conditions, and is a safe, minimally invasive option.

12 services12 patients

Insertion of stent into pancreatic or bile duct using a flexible endoscope 43274

This procedure involves the placement of a tiny tube, known as a stent, into your pancreatic or bile duct. A flexible endoscope, a long, thin instrument with a light and camera, is used. It aids in relieving blockages and improving flow in these ducts.

12 services11 patients

Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235

This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.

11 services11 patients

Review by radiologist of image from tube placement into bile duct using an endoscope 74328

This procedure involves a specialist, called a radiologist, examining an image taken during a tube placement into your bile duct. The tube is inserted with the help of a tool called an endoscope. This allows the doctor to check for any issues or abnormalities in your bile duct.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Cleveland Clinic Martin North Hospital

Acute Care Hospitals · Stuart, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100044

Location200 SE Hospital AveStuart, FL 34994 · Martin County

Emergency services Birthing friendly

Cleveland Clinic Hospital

Acute Care Hospitals · Weston, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100289

Location3100 Weston RdWeston, FL 33331 · Broward County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

89.89/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.75

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

NEVIN YILMAZ MD

Student in an Organized Health Care Education/Training Program

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 828-9783

MS. RENEE D SEAMAN NP

Nurse Practitioner (Family)

1250 E MARSHALL ST, GENERAL MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-3144

DR. AIMEE COLLINS MD

Internal Medicine

1250 E MARSHALL ST, INTERNAL MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-3144

MRS. MARY ELIZABETH O'BOYLE WILLIS FNP

Nurse Practitioner (Family)

1250 E MARSHALL ST, DEPARTMENT OF PEDIATRICS
RICHMOND, VA 23298

Richmond City (804) 628-0189

DR. AMY SAMANTHA MAY PAUL M.D.

Internal Medicine (Geriatric Medicine)

1250 E MARSHALL ST, DEPT. OF INTERNAL MEDICINE/GERIATRIC MEDICINE
RICHMOND, VA 23298

Richmond City (804) 254-3500

MRS. ERICA STOREY CLINE PA-C

Physician Assistant

1250 E MARSHALL ST, EMERGENCY MEDICINE
RICHMOND, VA 23298

Richmond City (804) 828-0996

CYNTHIA CHENAULT AGACNP

Nurse Practitioner (Acute Care)

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 628-3646

DR. TAYLOR LATIA ROACH MD

Student in an Organized Health Care Education/Training Program

1250 E MARSHALL ST
RICHMOND, VA 23298

Richmond City (804) 628-7497

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 Tilak Shah's NPI number?

The NPI number for Tilak Shah is 1568629228. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Tilak Shah located?

Tilak Shah practices at 1250 E Marshall St Dept. Of Internal Medicine/Gastroenterology, Richmond, VA 23298. The listed phone number is (804) 828-4060.

What is Tilak Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Tilak Shah enrolled in Medicare?

Yes. Tilak 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 Tilak Shah accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tilak 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 Tilak Shah affiliated with any hospitals?

According to CMS data, Tilak Shah is affiliated with Cleveland Clinic Martin North Hospital and Cleveland Clinic Hospital.

When was this NPI record last updated?

The NPPES record for Tilak Shah was last updated on December 8, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.