KHUSHBOO SHAH M.D.
NPI 1619233830
Internal Medicine in Worcester, MA

Active since April 02, 2012PECOS EnrolledAccepts Medicare Assignment
55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, DEPT OF INTERNAL MEDICIN, WORCESTER, MA 01655(508) 334-1000 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khushboo Shah M.d. NPPES

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

KHUSHBOO SHAH M.D. (NPI 1619233830) is an individual internal medicine provider in Worcester, Massachusetts, licensed in Texas (R1641) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and is a graduate of Northeastern Ohio University College Of Medicine (2012).

NPPES Registry Identity

NPI1619233830
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKHUSHBOO SHAHCredential: M.D.
Location Address55 LAKE AVE N, UMASS MEMORIAL MEDICAL CENTER, DEPT OF INTERNAL MEDICINWorcester, MA 01655-0002
Mailing Address55 Lake Ave N, Umass Memorial Medical Center, Dept Of Internal MedicinWorcester, MA 01655-0002 · (508) 334-1000
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2012
Enumeration DateApril 2, 2012
Last NPPES UpdateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
NPI 1619233830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R1641
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.
55 LAKE AVE N, Worcester, MA 01655

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

Khushboo 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 ID8325340383
PECOS Enrollment IDI20250905004210
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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 20

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

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Khushboo Shah's NPI number?

The NPI number for Khushboo Shah is 1619233830. It was assigned to this individual provider in the NPPES registry on April 2, 2012.

Where is Khushboo Shah located?

Khushboo Shah practices at 55 Lake Ave N Umass Memorial Medical Center, Dept Of Internal Medicin, Worcester, MA 01655. The listed phone number is (508) 334-1000.

What is Khushboo Shah's specialty?

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

Is Khushboo Shah enrolled in Medicare?

Yes. Khushboo 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 Khushboo Shah accept?

Health plans from Molina Healthcare list Khushboo 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.

When was this NPI record last updated?

The NPPES record for Khushboo Shah was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.