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KRUPA SHAH M.D.
NPI 1609978253
Family Medicine in Rochester, NY

Active since September 03, 2006PECOS EnrolledAccepts Medicare Assignment
1000 SOUTH AVE # 58, ROCHESTER, NY 14620(585) 341-6779 Get Directions Write a Review

NPPES record last updated: February 2, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Krupa Shah M.d. NPPES

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

KRUPA SHAH M.D. (NPI 1609978253) is an individual family medicine provider in Rochester, New York, licensed in New York (6551483) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1609978253
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRUPA SHAHCredential: M.D.
Location Address1000 SOUTH AVE # 58Rochester, NY 14620-2733
Mailing Address1000 South Ave # 58Rochester, NY 14620-2733 · (585) 341-6779
Phone(585) 341-6779
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 3, 2006
Last NPPES UpdateFebruary 2, 2009
✔ NPI 1609978253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 6551483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 2006014589 (MO)
1000 SOUTH AVE # 58, Rochester, NY 14620
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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

Krupa 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 ID6103980768
PECOS Enrollment IDI20090126000549
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

3

Medicare enrollment records show Krupa Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Highland Hospital Of Rochester
Same address
Hospice and Palliative Medicine
1000 SOUTH AVE # 58
Rochester, NY 14620
  • Reassigned Medicare billing, New York enrollment
  • 303 clinicians in this Medicare group
NPI 1902221518 (585) 341-6779
St. Ann's Home For The Aged
4.2 mi
Skilled Nursing Facility
1500 PORTLAND AVENUE
Rochester, NY 14621
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Anns Home For The Aged
  • 14 clinicians in this Medicare group
NPI 1225067168 (585) 697-6337
St. Ann's Nursing Home Company, Inc
8.6 mi
Skilled Nursing Facility
920 CHERRY RIDGE BLVD
Webster, NY 14580
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Anns Nursing Home Company, Inc
  • 8 clinicians in this Medicare group
NPI 1740216050 (585) 697-6337

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 2

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
138 services66 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
89 services82 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14620 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 5

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

MR. TIMOTHY HOLAHAN MD
Internal Medicine (Geriatric Medicine)
1000 SOUTH AVE # 58
ROCHESTER, NY 14620
Monroe County (585) 341-0456
KRISTINA MOULE RPA-C
Physician Assistant (Medical)
1000 SOUTH AVE # 58
ROCHESTER, NY 14620
Monroe County (585) 473-2200
HIGHLAND HOSPITAL OF ROCHESTER
Internal Medicine (Hospice and Palliative Medicine)
1000 SOUTH AVE # 58
ROCHESTER, NY 14620
Monroe County (585) 341-6779
DMITRIY MIGDALOVICH M.D.
Internal Medicine (Geriatric Medicine)
1000 SOUTH AVE # 58
ROCHESTER, NY 14620
Monroe County (585) 341-6776
DR. SOUMYADEEP BAG MD
Internal Medicine
1000 SOUTH AVE # 58
ROCHESTER, NY 14620
Monroe County (585) 341-6776

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 Krupa Shah's NPI number?

The NPI number for Krupa Shah is 1609978253. It was assigned to this individual provider in the NPPES registry on September 3, 2006.

Where is Krupa Shah located?

Krupa Shah practices at 1000 South Ave # 58, Rochester, NY 14620. The listed phone number is (585) 341-6779.

What is Krupa Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krupa Shah enrolled in Medicare?

Yes. Krupa 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 Krupa Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krupa Shah reassigns Medicare benefits to 3 organizations: Highland Hospital Of Rochester (Rochester, NY), St. Ann's Home For The Aged (Rochester, NY) and St. Ann's Nursing Home Company, Inc (Webster, NY). 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 Krupa Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Krupa Shah affiliated with any hospitals?

According to CMS data, Krupa Shah is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Krupa Shah was last updated on February 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.