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KRUTI SHAH M.D.
NPI 1659803518
Internal Medicine in New York, NY

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
70.3/100
CMS Quality Rating
500 7TH AVE, NEW YORK, NY 10018(833) 947-4927 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2023, Nov 8, 2022, Mar 30, 2017 (3 updates tracked since 2017).

About Kruti Shah M.d. NPPES

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

KRUTI SHAH M.D. (NPI 1659803518) is an individual internal medicine provider in New York, New York, licensed in New York (304699) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1659803518
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKRUTI SHAHCredential: M.D.
Location Address500 7TH AVENew York, NY 10018-4502
Mailing Address500 7th AveNew York, NY 10018-4502 · (833) 947-4927
Phone(833) 947-4927
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateJuly 10, 20233 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1659803518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 304699
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 67128 (AZ)
500 7TH AVE, New York, NY 10018
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Kruti 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 ID2668717075
PECOS Enrollment IDI20221202001178
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
305 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 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.
157 services92 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.
131 services130 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10018 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.

70.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality40.27
Improvement Activities40
Cost71.99

Other Providers at the Same Location NPPES 4

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

TRISTATE PHYSICIAN SERVICES PC
Internal Medicine
500 7TH AVE
NEW YORK, NY 10018
New York County (844) 947-6782
MA WARLINDA PINUELA TORIALES
Registered Nurse
500 7TH AVE
NEW YORK, NY 10018
New York County (347) 421-5471
MUNEVO INC.
Durable Medical Equipment & Medical Supplies
500 7TH AVE
NEW YORK, NY 10018
New York County (628) 688-7535
CVS ALBANY, L.L.C.
Pharmacy
500 7TH AVE
NEW YORK, NY 10018
New York County (212) 835-6921

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 Kruti Shah's NPI number?

The NPI number for Kruti Shah is 1659803518. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Kruti Shah located?

Kruti Shah practices at 500 7th Ave, New York, NY 10018. The listed phone number is (833) 947-4927.

What is Kruti Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kruti Shah enrolled in Medicare?

Yes. Kruti 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 Kruti Shah accept?

Health plans from Oscar Insurance Company list Kruti 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.

When was this NPI record last updated?

The NPPES record for Kruti Shah was last updated on July 10, 2023. 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.