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DR. HIRAL GAUTAM SHAH MD
NPI 1639338262
Psychiatry & Neurology - Neurology in New York, NY

Active since June 09, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
710 W 168TH ST, 3RD FLOOR, NEW YORK, NY 10032(212) 305-5558 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Hiral Gautam Shah Md NPPES

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

DR. HIRAL GAUTAM SHAH MD (NPI 1639338262) is an individual neurology provider in New York, New York, licensed in New York (250145) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Indiana University School Of Medicine (2007).

NPPES Registry Identity

NPI1639338262
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. HIRAL GAUTAM SHAHCredential: MD
Location Address710 W 168TH ST, 3RD FLOORNew York, NY 10032-3726
Mailing Address685 White Plains RdEastchester, NY 10709-5545 · (914) 787-4100 · Fax (914) 787-4199
Phone(212) 305-5558
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2007
Enumeration DateJune 9, 2008
Last NPPES UpdateNovember 18, 2022
NPPES CertifiedNovember 18, 2022
✔ NPI 1639338262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in NY · 250145
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
710 W 168TH ST, New York, NY 10032
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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. Hiral Gautam 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 ID6103086079
PECOS Enrollment IDI20120330000046
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 7

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.
345 services220 patients
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.
132 services114 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.
130 services130 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.
109 services78 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
80 services72 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Helen Hayes Hospital

Acute Care Hospitals · West Haverstraw, NY
OwnershipGovernment - State
CMS Certification Number330405
Location51 North Route 9WWest Haverstraw, NY 10993 · Rockland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier12 claims12 services$10.19 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier12 claims24 services$9.60 avg. paid by Medicare
Manual adult size wheelchair, includes tilt in space E1161
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$180.22 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.

DR. JAHANNAZ DASTGIR DO
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (646) 426-3876
DR. JOSE DTM GUTIERREZ MD, MPH
Psychiatry & Neurology (Neurology)
710 W 168TH ST, 6TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-8389
DR. SYLVIE GOLDMAN PHD
Clinical Neuropsychologist
710 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
New York County (646) 239-4535
DR. JAMES MCCALLUM NOBLE M.D.
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-6939
RUSLANA SHARGORODSKAYA NP
Nurse Practitioner (Adult Health)
710 W 168TH ST
NEW YORK, NY 10032
New York County (212) 305-0376
EMMA HANDWERKER
Student in an Organized Health Care Education/Training Program
710 W 168TH ST
NEW YORK, NY 10032
New York County (718) 330-1234
KIMBERLY MANGLA MD
Psychiatry & Neurology (Psychiatry)
710 W 168TH ST, 12TH FLOOR
NEW YORK, NY 10032
New York County (212) 305-9758
CHRISTINE Y. KIM M.D.
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
New York County (646) 426-3876

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 Hiral Shah's NPI number?

The NPI number for Hiral Shah is 1639338262. It was assigned to this individual provider in the NPPES registry on June 9, 2008.

Where is Hiral Shah located?

Hiral Shah practices at 710 W 168th St 3rd Floor, New York, NY 10032. The listed phone number is (212) 305-5558.

What is Hiral Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Hiral Shah enrolled in Medicare?

Yes. Hiral 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.

Is Hiral Shah affiliated with any hospitals?

According to CMS data, Hiral Shah is affiliated with New York-Presbyterian Hospital and Helen Hayes Hospital.

When was this NPI record last updated?

The NPPES record for Hiral Shah was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.