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DR. KAJAL SHAH MD
NPI 1619418985
Internal Medicine - Endocrinology, Diabetes & Metabolism in Utto, TX

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
83.36/100
CMS Quality Rating
120 ED SCHMIDT BLVD, STE B, E, F, UTTO, TX 78634(512) 509-9500 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Jul 27, 2022, Mar 20, 2017 (3 updates tracked since 2017).

About Dr. Kajal Shah Md NPPES

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

DR. KAJAL SHAH MD (NPI 1619418985) is an individual endocrinology, diabetes & metabolism provider in Utto, Texas, licensed in Texas (T8651) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Temple, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1619418985
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. KAJAL SHAHCredential: MD
Location Address120 ED SCHMIDT BLVD, STE B, E, FUtto, TX 78634-5559
Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (254) 724-2111
Phone(512) 509-9500
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 20, 2017
Last NPPES UpdateDecember 5, 20253 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1619418985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in TX · T8651
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
120 ED SCHMIDT BLVD, Utto, TX 78634
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Kajal Pareshkumar Shah Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Moda Health Plan, Inc..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

Dr. Kajal 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 ID8921342221
PECOS Enrollment IDI20220723000078
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 6

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.
282 services160 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.
75 services75 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
40 services24 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
36 services35 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services28 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Baylor Scott & White Medical Center - Temple

Acute Care Hospitals · Temple, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450054
Location2401 S 31st StTemple, TX 76508 · Bell County
Emergency services Birthing friendly

Baylor Scott & White Medical Center -Taylor

Critical Access Hospitals · Taylor, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451374
Location305 MallardTaylor, TX 76574 · Williamson County
Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670034
Location300 University BlvdRound Rock, TX 78664 · Williamson County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Pflugerville

Acute Care Hospitals · Pflugerville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number670128
Location2600 East Pflugerville ParkwayPflugerville, TX 78660 · Travis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78634 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.

83.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.84
Promoting Interoperability87
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

DR. ISAAC EMMANUEL CHA MD
Internal Medicine
120 ED SCHMIDT BLVD
HUTTO, TX 78634
Williamson County (512) 509-9500
MRS. CARMELIA C PETCH PA-C
Physician Assistant
120 ED SCHMIDT BLVD
HUTTO, TX 78634
Williamson County (512) 509-9500
MR. ANDREW JOSEPH ATHMER FNP-C
Nurse Practitioner (Family)
120 ED SCHMIDT BLVD
HUTTO, TX 78634
Williamson County (512) 509-9500
MRS. KRISTI K MORROW-HAMM FNP-C
Nurse Practitioner (Family)
120 ED SCHMIDT BLVD, STE B, E, F
HUTTO, TX 78634
Williamson County (512) 509-9500

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 Kajal Shah's NPI number?

The NPI number for Kajal Shah is 1619418985. It was assigned to this individual provider in the NPPES registry on March 20, 2017. The provider is also known as Dr. Kajal Pareshkumar Shah MD.

Where is Kajal Shah located?

Kajal Shah practices at 120 Ed Schmidt Blvd Ste B, E, F, Utto, TX 78634. The listed phone number is (512) 509-9500.

What is Kajal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Kajal Shah enrolled in Medicare?

Yes. Kajal 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 Kajal Shah accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas and Moda Health Plan, Inc. list Kajal 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 Kajal Shah affiliated with any hospitals?

According to CMS data, Kajal Shah is affiliated with Baylor Scott & White Medical Center - Temple, Baylor Scott & White Medical Center -Taylor, Baylor Scott & White Medical Center - Round Rock and Baylor Scott & White Medical Center Pflugerville.

When was this NPI record last updated?

The NPPES record for Kajal Shah was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.