HEMANG JAGDISH SHAH D.O.
NPI 1639431919
Hospitalist in Lexington, KY

Active since June 12, 2012PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE ST, MN604, LEXINGTON, KY 40536(859) 323-6047(859) 257-3873 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hemang Jagdish Shah D.o. NPPES

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

HEMANG JAGDISH SHAH D.O. (NPI 1639431919) is an individual hospitalist provider in Lexington, Kentucky, licensed in Kentucky (03853) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1639431919
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameHEMANG JAGDISH SHAHCredential: D.O.
Location AddressUK DIVISION OF HOSPITAL MEDICINE, 800 ROSE ST, MN604Lexington, KY 40536-0298
Mailing AddressUk Division Of Hospital Medicine, 800 Rose St, Mn604Lexington, KY 40536-0298 · (859) 323-6047 · Fax (859) 257-3873
Fax(859) 257-3873
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 12, 2012
Last NPPES UpdateSeptember 14, 2015
NPI 1639431919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in KY · 03853
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 03853 (KY)
UK DIVISION OF HOSPITAL MEDICINE, Lexington, KY 40536

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

Hemang Jagdish Shah D.o. 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 ID3678738200
PECOS Enrollment IDI20170215002046
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 4

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.

Follow-up hospital inpatient care per day, typically 35 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
351 services114 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
55 services55 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services19 patients
Initial hospital inpatient care per day, typically 70 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
26 services26 patients

Hospital Affiliations CMS Care Compare

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE ST, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536
Hospitalist
UK DIVISION OF HOSPITAL MEDICINE, 800 ROSE STREET, MN604
LEXINGTON, KY 40536

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 Hemang Shah's NPI number?

The NPI number for Hemang Shah is 1639431919. It was assigned to this individual provider in the NPPES registry on June 12, 2012.

Where is Hemang Shah located?

Hemang Shah practices at Uk Division Of Hospital Medicine 800 Rose St, Mn604, Lexington, KY 40536. The listed phone number is (859) 323-6047.

What is Hemang Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Hemang Shah enrolled in Medicare?

Yes. Hemang 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 Hemang Shah accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Hemang 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 Hemang Shah affiliated with any hospitals?

According to CMS data, Hemang Shah is affiliated with Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Hemang Shah was last updated on September 14, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.