DR. NAYAN SHAH
NPI 1689693426
Internal Medicine - Gastroenterology in Hollywood, MD

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
24035 THREE NOTCH RD, HOLLYWOOD, MD 20636(301) 373-7400(301) 373-6400 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Nayan Shah NPPES

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

DR. NAYAN SHAH (NPI 1689693426) is an individual gastroenterology provider in Hollywood, Maryland, licensed in Maryland (D0025521) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Saint Mary's Hospital, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1689693426
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. NAYAN SHAH
Location Address24035 THREE NOTCH RDHollywood, MD 20636-4871
Mailing Address24035 Three Notch RdHollywood, MD 20636-4871
Fax(301) 373-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateJuly 19, 2006
Last NPPES UpdateMay 6, 2009
NPI 1689693426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in MD · D0025521
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
24035 THREE NOTCH RD, Hollywood, MD 20636

Other Identifiers 4

Medicaid329991100MD
Other110205824MD · Medicare Railroad
Medicare UPINE43033MD
Medicare PINH888J809MD

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. Nayan Shah 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 ID5698853000
PECOS Enrollment IDI20101029000090
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 23

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.
472 services364 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.
147 services147 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
120 services118 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.
103 services81 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
91 services90 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
90 services89 patients

Hospital Affiliations CMS Care Compare

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

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210028
Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20636 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.38
Promoting Interoperability96
Improvement Activities40
Cost74.97

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.

Internal Medicine (Endocrinology, Diabetes & Metabolism)
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Physician Assistant
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Physical Therapist
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Physical Therapy Assistant
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Surgery (Vascular Surgery)
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Clinic/Center (Rehabilitation)
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Internal Medicine (Cardiovascular Disease)
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636
Internal Medicine
24035 THREE NOTCH RD
HOLLYWOOD, MD 20636

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 Nayan Shah's NPI number?

The NPI number for Nayan Shah is 1689693426. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Nayan Shah located?

Nayan Shah practices at 24035 Three Notch Rd, Hollywood, MD 20636. The listed phone number is (301) 373-7400.

What is Nayan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Nayan Shah enrolled in Medicare?

Yes. Nayan 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 Nayan Shah affiliated with any hospitals?

According to CMS data, Nayan Shah is affiliated with Medstar Saint Mary's Hospital.

When was this NPI record last updated?

The NPPES record for Nayan Shah was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.