DR. ANISH KAUSHIK SHAH M.D,
NPI 1629202957
Urology in Cincinnati, OH

Active since May 14, 2009PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
2123 AUBURN AVE, CINCINNATI, OH 45219(513) 721-7373(513) 977-4353 Get Directions Write a Review

NPPES record last updated: July 6, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Anish Kaushik Shah M.d, NPPES

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

DR. ANISH KAUSHIK SHAH M.D, (NPI 1629202957) is an individual urology provider in Cincinnati, Ohio, licensed in Ohio (35.133349) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Christ Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1629202957
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ANISH KAUSHIK SHAHCredential: M.D,
Location Address2123 AUBURN AVECincinnati, OH 45219
Mailing Address237 William Howard Taft Rd, Cbo2-3, Credentialing, Attn: Valerie TaylorCincinnati, OH 45219-2910 · (513) 263-8571 · Fax (513) 366-4480
Fax(513) 977-4353
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 14, 2009
Last NPPES UpdateJuly 6, 2018
NPI 1629202957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in OH · 35.133349 Licensed in GA · 71566
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
2123 AUBURN AVE, Cincinnati, OH 45219

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

Dr. Anish Kaushik 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 ID9032359823
PECOS Enrollment IDI20180725000903
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 19

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
157 services138 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.
151 services128 patients
Leuprolide acetate (for depot suspension), 7.5 mg J9217
Leuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
144 services18 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
123 services102 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.
94 services94 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
74 services62 patients

Hospital Affiliations CMS Care Compare

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

Christ Hospital

Acute Care Hospitals · Cincinnati, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360163
Location2139 Auburn AvenueCincinnati, OH 45219 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45219 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.26
Promoting Interoperability100
Improvement Activities40
Cost77.87

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.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers18 claims3,210 services$1.62 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
3 suppliers15 claims3,330 services$5.25 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.

Internal Medicine (Critical Care Medicine)
2123 AUBURN AVE, SUITE 401
CINCINNATI, OH 45219
Family Medicine
2123 AUBURN AVE
CINCINNATI, OH 45219
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
2123 AUBURN AVE, SU. 137
CINCINNATI, OH 45219
Family Medicine
2123 AUBURN AVE, SUITE 235
CINCINNATI, OH 45219
Clinical Medical Laboratory
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Nurse Practitioner (Family)
2123 AUBURN AVE, SUITE 320
CINCINNATI, OH 45219
Internal Medicine (Rheumatology)
2123 AUBURN AVE, STE 630
CINCINNATI, OH 45219
Internal Medicine (Nephrology)
2123 AUBURN AVE, STE 404
CINCINNATI, OH 45219

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 Anish Shah's NPI number?

The NPI number for Anish Shah is 1629202957. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Anish Shah located?

Anish Shah practices at 2123 Auburn Ave, Cincinnati, OH 45219. The listed phone number is (513) 721-7373.

What is Anish Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Anish Shah enrolled in Medicare?

Yes. Anish 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 Anish Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Anish 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 Anish Shah affiliated with any hospitals?

According to CMS data, Anish Shah is affiliated with Christ Hospital.

When was this NPI record last updated?

The NPPES record for Anish Shah was last updated on July 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.