DR. BINIT PRABHULAL SHAH M.D.
NPI 1578726592
Anesthesiology - Pain Medicine in Huntersville, NC

Active since July 09, 2008PECOS Enrolled
73.46/100
CMS Quality Rating
9735 KINCEY AVE, SUITE 100, HUNTERSVILLE, NC 28078(704) 500-2332(704) 274-2048 Get Directions Write a Review

NPPES record last updated: January 10, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Binit Prabhulal Shah M.d. NPPES

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

DR. BINIT PRABHULAL SHAH M.D. (NPI 1578726592) is an individual pain medicine provider in Huntersville, North Carolina, licensed in North Carolina (201000903) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1578726592
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. BINIT PRABHULAL SHAHCredential: M.D.
Location Address9735 KINCEY AVE, SUITE 100Huntersville, NC 28078-9118
Mailing Address9735 Kincey Ave, Ste 100Huntersville, NC 28078-9118 · (704) 500-2332 · Fax (888) 511-8009
Fax(704) 274-2048
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 9, 2008
Last NPPES UpdateJanuary 10, 2018
NPI 1578726592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in NC · 201000903
Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedSpecialistTaxonomy 174400000X · License 2010-00903 (NC)
9735 KINCEY AVE, Huntersville, NC 28078

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 (PECOS)

Dr. Binit Prabhulal Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799837506
PECOS Enrollment IDI20111115000513
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 25

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.
1,784 services473 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
886 services524 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
603 services421 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.
162 services162 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.
122 services98 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
102 services48 patients

Hospital Affiliations CMS Care Compare 2

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Novant Health Huntersville Medical Center

Acute Care Hospitals · Huntersville, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340183
Location10030 Gilead RoadHuntersville, NC 28078 · Mecklenburg County
Emergency services Birthing friendly

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.

73.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.36
Promoting Interoperability0
Improvement Activities40
Cost92.32

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
93%367 patients4/55-star benchmark: 100%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
80%20 patients3/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
100%28 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
61%340 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
51%557 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
55%191 patients3/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

Urology
9735 KINCEY AVE, STE 201
HUNTERSVILLE, NC 28078
Anesthesiology (Pain Medicine)
9735 KINCEY AVE, SUITE 100
HUNTERSVILLE, NC 28078
Dentist
9735 KINCEY AVE, SUITE 206
HUNTERSVILLE, NC 28078
Pathology (Anatomic Pathology)
9735 KINCEY AVE, SUITE 302A
HUNTERSVILLE, NC 28078
Anesthesiology (Pain Medicine)
9735 KINCEY AVE, SUITE 100
HUNTERSVILLE, NC 28078

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 Binit Shah's NPI number?

The NPI number for Binit Shah is 1578726592. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Binit Shah located?

Binit Shah practices at 9735 Kincey Ave Suite 100, Huntersville, NC 28078. The listed phone number is (704) 500-2332.

What is Binit Shah's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Binit Shah enrolled in Medicare?

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

What insurance does Binit Shah accept?

Health plans from Blue Cross and Blue Shield of NC list Binit 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 Binit Shah affiliated with any hospitals?

According to CMS data, Binit Shah is affiliated with Iredell Memorial Hospital Inc and Novant Health Huntersville Medical Center.

When was this NPI record last updated?

The NPPES record for Binit Shah was last updated on January 10, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.