NEEL SHAH D.O.
NPI 1669859237
Internal Medicine in San Antonio, TX

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment
1139 E SONTERRA BLVD, SAN ANTONIO, TX 78258(210) 638-2000 Get Directions Write a Review

NPPES record last updated: July 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Neel Shah D.o. NPPES

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

NEEL SHAH D.O. (NPI 1669859237) is an individual internal medicine provider in San Antonio, Texas, licensed in Texas (R2969) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital Stone Oak, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1669859237
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNEEL SHAHCredential: D.O.
Location Address1139 E SONTERRA BLVDSan Antonio, TX 78258-4347
Mailing Address23039 EvangelineSan Antonio, TX 78258-7031 · (832) 545-7112
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 1, 2015
Last NPPES UpdateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
NPI 1669859237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · R2969
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.

1139 E SONTERRA BLVD, San Antonio, TX 78258

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

Neel 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 ID8325303407
PECOS Enrollment IDI20180518001243
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.

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.
607 services245 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.
189 services188 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.
155 services99 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.
94 services94 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
47 services32 patients
Initial hospital observation care per day, typically 70 minutes 99220
This service involves a healthcare professional closely monitoring your health condition during your hospital stay. It typically lasts for about 70 minutes each day. This helps in timely detection of any changes in your health, allowing for immediate response and treatment.
22 services22 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number670055
Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78258 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
96%134 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers47 claims47 services$13.36 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers64 claims64 services$55.93 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.

Obstetrics & Gynecology
1139 E SONTERRA BLVD, STE 260
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, SUITE 500
SAN ANTONIO, TX 78258
Orthopaedic Surgery
1139 E SONTERRA BLVD, STE 500
SAN ANTONIO, TX 78258
Physician Assistant
1139 E SONTERRA BLVD, SUITE 500
SAN ANTONIO, TX 78258
Nurse Practitioner (Family)
1139 E SONTERRA BLVD, SUITE 405
SAN ANTONIO, TX 78258
Internal Medicine
1139 E SONTERRA BLVD, SUITE 405
SAN ANTONIO, TX 78258
Internal Medicine (Pulmonary Disease)
1139 E SONTERRA BLVD, SUITE 300
SAN ANTONIO, TX 78258
Internal Medicine (Pulmonary Disease)
1139 E SONTERRA BLVD, SUITE 300
SAN ANTONIO, TX 78258

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 Neel Shah's NPI number?

The NPI number for Neel Shah is 1669859237. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Neel Shah located?

Neel Shah practices at 1139 E Sonterra Blvd, San Antonio, TX 78258. The listed phone number is (210) 638-2000.

What is Neel Shah's specialty?

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

Is Neel Shah enrolled in Medicare?

Yes. Neel 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 Neel Shah accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company and 1 other insurer list Neel 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 Neel Shah affiliated with any hospitals?

According to CMS data, Neel Shah is affiliated with Methodist Hospital Stone Oak.

When was this NPI record last updated?

The NPPES record for Neel Shah was last updated on July 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.