KUNAL SHAH M.D.
NPI 1619233558
Internal Medicine - Clinical Cardiac Electrophysiology in Round Rock, TX

Active since April 04, 2012PECOS EnrolledAccepts Medicare Assignment
73.17/100
CMS Quality Rating
301 SETON PKWY STE 302, ROUND ROCK, TX 78665(512) 324-4812 Get Directions Write a Review

NPPES record last updated: December 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2021, May 11, 2016 (2 updates tracked since 2016).

About Kunal Shah M.d. NPPES

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

KUNAL SHAH M.D. (NPI 1619233558) is an individual clinical cardiac electrophysiology provider in Round Rock, Texas, licensed in Texas (R7110) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1619233558
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameKUNAL SHAHCredential: M.D.
Location Address301 SETON PKWY STE 302Round Rock, TX 78665-8003
Mailing Address10811 Lazy Meadows DrHouston, TX 77064-4231 · (281) 890-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 4, 2012
Last NPPES UpdateDecember 14, 20212 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
NPI 1619233558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in TX · R7110
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
301 SETON PKWY STE 302, Round Rock, TX 78665

Other Identifiers 2

Medicaid428082802TX
Other19106574TX · Tx Dl Number

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 and accepts Medicare assignment

Kunal 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 ID3274938006
PECOS Enrollment IDI20210817003133
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 26

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
378 services262 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.
372 services269 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296
This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.
280 services115 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
253 services49 patients
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294
This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.
183 services76 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.
122 services114 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Ascension Seton Williamson

Acute Care Hospitals · Round Rock, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670041
Location201 Seton ParkwayRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

73.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality79.37
Promoting Interoperability99
Improvement Activities40
Cost24.75

Reported Quality Measures

Breast Cancer Screening
29%206 patients2/55-star benchmark: 93%
Cervical Cancer Screening
20%134 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
28%94 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
27%558 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
66%497 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
92%63 patients4/55-star benchmark: 99%
Diabetes: Eye Exam
6%140 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
71%140 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
66%2,203 patients3/55-star benchmark: 100%
e-Prescribing
98%410 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
23%638 patients1/55-star benchmark: 100%
HIV Screening
7%395 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%920 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
91%850 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%572 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 93% · 905 patients
Patients screened: 98% · 905 patients
48%81 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
88%655 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
87%529 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 651 patients
Patients totalRate: 4% · 661 patients
4%661 patients4/55-star benchmark: 100%
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 9

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Nurse Practitioner (Acute Care)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Internal Medicine (Interventional Cardiology)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Family Medicine
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Internal Medicine (Interventional Cardiology)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Internal Medicine (Cardiovascular Disease)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Internal Medicine (Interventional Cardiology)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665
Internal Medicine (Cardiovascular Disease)
301 SETON PKWY STE 302
ROUND ROCK, TX 78665

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 Kunal Shah's NPI number?

The NPI number for Kunal Shah is 1619233558. It was assigned to this individual provider in the NPPES registry on April 4, 2012.

Where is Kunal Shah located?

Kunal Shah practices at 301 Seton Pkwy Ste 302, Round Rock, TX 78665. The listed phone number is (512) 324-4812.

What is Kunal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Kunal Shah enrolled in Medicare?

Yes. Kunal 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 Kunal Shah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kunal 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 Kunal Shah affiliated with any hospitals?

According to CMS data, Kunal Shah is affiliated with Ascension Seton Medical Center Austin, Dell Seton Med Center At The University Of Tx and Ascension Seton Williamson.

When was this NPI record last updated?

The NPPES record for Kunal Shah was last updated on December 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.