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DR. MANISH DHIRAJ SHAH MD
NPI 1619186202
Internal Medicine in Baltimore, MD

Active since May 21, 2007PECOS EnrolledAccepts Medicare Assignment
17.42/100
CMS Quality Rating
301 SAINT PAUL PL, 5TH FLOOR, BALTIMORE, MD 21202(410) 951-7969(410) 576-5499 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Manish Dhiraj Shah Md NPPES

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

DR. MANISH DHIRAJ SHAH MD (NPI 1619186202) is an individual internal medicine provider in Baltimore, Maryland, licensed in Maryland (D0067476) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center Inc, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2005).

NPPES Registry Identity

NPI1619186202
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MANISH DHIRAJ SHAHCredential: MD
Location Address301 SAINT PAUL PL, 5TH FLOORBaltimore, MD 21202-2102
Mailing Address301 Saint Paul Pl, 5th FloorBaltimore, MD 21202-2102 · (410) 951-7969 · Fax (410) 576-5499
Phone(410) 951-7969
Fax(410) 576-5499
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2005
Enumeration DateMay 21, 2007
Last NPPES UpdateDecember 15, 2009
✔ NPI 1619186202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MD · D0067476
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
301 SAINT PAUL PL, Baltimore, MD 21202
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN211NMD

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. Manish Dhiraj Shah Md 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 ID4082772298
PECOS Enrollment IDI20081016000329
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 7

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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
605 services246 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
261 services246 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
185 services175 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
114 services55 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
89 services32 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.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Mercy Medical Center Inc

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number210008
Location301 Saint Paul PlaceBaltimore, MD 21202 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21202 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

17.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost58.07

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$12.72 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$59.70 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRIDGIT ANN MENA PA-C
Physician Assistant
301 SAINT PAUL PL, ORTHOPEDIC AND JOINT REPLACEMENT
BALTIMORE, MD 21202
Baltimore City (410) 539-2227
SCOTT MCPHERSON M.D
Emergency Medicine
301 SAINT PAUL PL
BALTIMORE, MD 21202
Baltimore City (410) 332-9809
VASCULAR SPECIALTY SERVICES, LLC
Surgery (Vascular Surgery)
301 SAINT PAUL PL, 5TH FLOOR
BALTIMORE, MD 21202
Baltimore City (410) 332-9404
MICHAEL GOLDMAN MD
Radiology (Diagnostic Radiology)
301 SAINT PAUL PL, RADIOLOGY DEPT
BALTIMORE, MD 21202
Baltimore City (410) 332-9266
ROBERT A THOMPSON JR. MD
Urology
301 SAINT PAUL PL, POB 802
BALTIMORE, MD 21202
Baltimore City (410) 332-9654
KAMALA H LITTLETON MD
Orthopaedic Surgery
301 SAINT PAUL PL, POB 804
BALTIMORE, MD 21202
Baltimore City (410) 539-2227
ARCHANA SHARMA CNM
Advanced Practice Midwife
301 SAINT PAUL PL, TOWER # 306
BALTIMORE, MD 21202
Baltimore City (410) 385-5151
JENNY ELLEN FRITTS
Physical Therapist
301 SAINT PAUL PL
BALTIMORE, MD 21202
Baltimore City (410) 659-2933

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 Manish Shah's NPI number?

The NPI number for Manish Shah is 1619186202. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Manish Shah located?

Manish Shah practices at 301 Saint Paul Pl 5th Floor, Baltimore, MD 21202. The listed phone number is (410) 951-7969.

What is Manish Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Manish Shah enrolled in Medicare?

Yes. Manish 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.

Is Manish Shah affiliated with any hospitals?

According to CMS data, Manish Shah is affiliated with Mercy Medical Center Inc.

When was this NPI record last updated?

The NPPES record for Manish Shah was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.