NANDINI SHAH MD
NPI 1639103716
Family Medicine in Pleasant Prairie, WI

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
9555 76TH STREET, PLEASANT PRAIRIE, WI 53158(262) 577-8300 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nandini Shah Md NPPES

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

NANDINI SHAH MD (NPI 1639103716) is an individual family medicine provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (35252) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1639103716
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNANDINI SHAHCredential: MD
Location Address9555 76TH STREETPleasant Prairie, WI 53158
Mailing Address9555 76th StreetPleasant Prairie, WI 53158
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 11, 2006
Last NPPES UpdateMarch 14, 2008
NPI 1639103716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 35252
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

9555 76TH STREET, Pleasant Prairie, WI 53158

Other Identifiers 5

Other080171366WI · Medicare Rr
Medicaid32100900WI
Medicare UPING09058
Other338121367001WI · Anthem
Medicare PIN005832250WI

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

Nandini 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 ID6901094390
PECOS Enrollment IDI20101229000883
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 3

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.
130 services56 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.
42 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Other Providers at the Same Location NPPES 6

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

Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Obstetrics & Gynecology
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Radiology (Diagnostic Radiology)
9555 76TH STREET, UHS ST CATHERINES CAMPUS
PLEASANT PRAIRIE, WI 53158
Internal Medicine (Nephrology)
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158
Family Medicine
9555 76TH STREET
PLEASANT PRAIRIE, WI 53158

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 Nandini Shah's NPI number?

The NPI number for Nandini Shah is 1639103716. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Nandini Shah located?

Nandini Shah practices at 9555 76th Street, Pleasant Prairie, WI 53158. The listed phone number is (262) 577-8300.

What is Nandini Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nandini Shah enrolled in Medicare?

Yes. Nandini 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 Nandini Shah accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Nandini 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 Nandini Shah affiliated with any hospitals?

According to CMS data, Nandini Shah is affiliated with Ascension All Saints Hospital.

When was this NPI record last updated?

The NPPES record for Nandini Shah was last updated on March 14, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.