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DHIREN L SHAH MD
NPI 1629054358
Internal Medicine - Cardiovascular Disease in Garland, TX

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
18.61/100
CMS Quality Rating
530 CLARA BARTON BLVD STE 150, GARLAND, TX 75042(972) 487-1117(972) 494-2082 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dhiren L Shah Md NPPES

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

DHIREN L SHAH MD (NPI 1629054358) is an individual cardiovascular disease provider in Garland, Texas, licensed in Texas (G4206) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White The Heart Hospital - Plano, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1629054358
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDHIREN L SHAHCredential: MD
Location Address530 CLARA BARTON BLVD STE 150Garland, TX 75042-5752
Mailing Address530 Clara Barton Blvd Ste 150Garland, TX 75042-5752 · (972) 497-1117 · Fax (972) 494-2082
Phone(972) 487-1117
Fax(972) 494-2082
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateDecember 15, 2005
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1629054358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · G4206
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
530 CLARA BARTON BLVD STE 150, Garland, TX 75042
Open in Google Maps ↗

Other Names 1

Other Name (5)Dhirendra L Shah Md

Other Identifiers 2

Other894032TX · Bcbs
Medicaid133771908TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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

Dhiren L 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 ID4082631114
PECOS Enrollment IDI20051028000197
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 Reassignment

Medicare enrollment records show Dhiren Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cardiology Consultants Of North Dallas PA
Same address
Cardiovascular Disease
530 CLARA BARTON BLVD STE 150
Garland, TX 75042
  • Reassigned Medicare billing, Texas enrollment
  • 2 clinicians in this Medicare group
NPI 1740205541 (972) 487-1117

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 8

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.
480 services264 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.
471 services259 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.
95 services31 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
29 services28 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
17 services17 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670025
Location1100 Allied DrivePlano, TX 75093 · Collin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75042 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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.

18.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost62.04

Other Providers at the Same Location NPPES 2

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

CARDIOLOGY CONSULTANTS OF NORTH DALLAS PA
Internal Medicine (Cardiovascular Disease)
530 CLARA BARTON BLVD STE 150
GARLAND, TX 75042
Dallas County (972) 487-1117
KANTI L AGRAWAL MD
Internal Medicine (Cardiovascular Disease)
530 CLARA BARTON BLVD STE 150
GARLAND, TX 75042
Dallas County (972) 487-1117

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 Dhiren Shah's NPI number?

The NPI number for Dhiren Shah is 1629054358. It was assigned to this individual provider in the NPPES registry on December 15, 2005. The provider is also known as Dhirendra L Shah MD.

Where is Dhiren Shah located?

Dhiren Shah practices at 530 Clara Barton Blvd Ste 150, Garland, TX 75042. The listed phone number is (972) 487-1117.

What is Dhiren Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Dhiren Shah enrolled in Medicare?

Yes. Dhiren 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 organization bills Medicare for Dhiren Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dhiren Shah reassigns Medicare benefits to Cardiology Consultants Of North Dallas PA (Garland, TX). The 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 Dhiren Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dhiren Shah accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Dhiren 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 Dhiren Shah affiliated with any hospitals?

According to CMS data, Dhiren Shah is affiliated with Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Dhiren Shah was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.