DHIREN SHAH
NPI 1689693483
Internal Medicine in Prince Frederick, MD

Active since July 19, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
110 HOSPITAL RD, PRINCE FREDERICK, MD 20678(410) 535-4333(410) 535-0495 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dhiren Shah NPPES

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

DHIREN SHAH (NPI 1689693483) is an individual internal medicine provider in Prince Frederick, Maryland, licensed in Maryland (D0050290) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1689693483
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDHIREN SHAH
Location Address110 HOSPITAL RDPrince Frederick, MD 20678-4019
Mailing Address24035 Three Notch RdHollywood, MD 20636-4871
Fax(410) 535-0495
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 19, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1689693483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0050290
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.
110 HOSPITAL RD, Prince Frederick, MD 20678

Other Identifiers 2

Medicare UPING59715MD
Medicare ID-Type UnspecifiedH888445MD

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

Dhiren 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 ID1254525918
PECOS Enrollment IDI20101027000701, I20201111001686
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 27

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.
1,287 services271 patients
Face-to-face behavioral counseling for obesity, 15 minutes G0447
This is a 15-minute consultation where a healthcare professional discusses your eating habits, physical activity, and goals to help manage your weight. The aim is to provide personalized strategies to promote a healthier lifestyle and combat obesity.
655 services141 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.
441 services212 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
284 services169 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
260 services162 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
248 services147 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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

Referred Medical Equipment & Supplies CMS DME claims

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers11 claims24 services$6.87 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.

Otolaryngology
110 HOSPITAL RD, SUITE 204
PRINCE FREDERICK, MD 20678
Internal Medicine (Cardiovascular Disease)
110 HOSPITAL RD, SUITE 306
PRINCE FREDERICK, MD 20678
Internal Medicine (Hematology & Oncology)
110 HOSPITAL RD, SUITE 105
PRINCE FREDERICK, MD 20678
Obstetrics & Gynecology
110 HOSPITAL RD, SUITE 203
PRINCE FREDERICK, MD 20678
Obstetrics & Gynecology
110 HOSPITAL RD, SUITE 211
PRINCE FREDERICK, MD 20678
Family Medicine
110 HOSPITAL RD, SUITE 111
PRINCE FREDERICK, MD 20678
Orthopaedic Surgery
110 HOSPITAL RD, SUITE 201
PRINCE FREDERICK, MD 20678
Pharmacist
110 HOSPITAL RD, SUITE 100
PRINCE FREDERICK, MD 20678

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 Dhiren Shah's NPI number?

The NPI number for Dhiren Shah is 1689693483. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Dhiren Shah located?

Dhiren Shah practices at 110 Hospital Rd, Prince Frederick, MD 20678. The listed phone number is (410) 535-4333.

What is Dhiren Shah's specialty?

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

Is Dhiren Shah enrolled in Medicare?

Yes. Dhiren 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.

When was this NPI record last updated?

The NPPES record for Dhiren Shah was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.