HIRAL A. SHAH M.D.
NPI 1689985871
Internal Medicine - Medical Oncology in Columbus, OH

Q: What is Hiral Shah's NPI number?

The NPI number for Hiral Shah is 1689985871. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Q: What is Hiral Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Q: When was this NPI record last updated?

The NPPES record for Hiral Shah was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment

81.3/100

CMS Quality Rating

3100 PLAZA PROPERTIES BLVD, COLUMBUS, OH 43219(614) 383-6000(614) 383-6001 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 3, 2023, Jan 25, 2022, Nov 7, 2019 and 4 more (7 updates tracked since 2015).

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About Hiral A. Shah M.d. NPPES

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

HIRAL A. SHAH M.D. (NPI 1689985871) is an individual medical oncology provider in Columbus, Ohio, licensed in Ohio (35.132135) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Mount Carmel St Ann's, and is a graduate of Northeastern Ohio University College Of Medicine (2010).

NPPES Registry Identity

NPI1689985871

Entity TypeIndividualFemale

Primary Taxonomy207RX0202X

Provider Legal NameHIRAL A. SHAHCredential: M.D.

Location Address3100 PLAZA PROPERTIES BLVDColumbus, OH 43219-1530

Mailing AddressPo Box 749495Atlanta, GA 30374-9495 · (239) 432-8331 · Fax (813) 321-1296

Phone(614) 383-6000

Fax(614) 383-6001

Sole ProprietorNo

Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2010

Enumeration DateJune 23, 2010

Last NPPES UpdateOctober 3, 20237 updates tracked since enumeration

NPPES CertifiedOctober 3, 2023

✔ NPI 1689985871 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RX0202X

License✔ Licensed in OH · 35.132135

Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

3100 PLAZA PROPERTIES BLVD, Columbus, OH 43219

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.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

Hiral A. 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 ID7416267901

PECOS Enrollment IDI20171214001479

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 11

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.

Injection, ferric derisomaltose, 10 mg J1437

Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.

1,200 services12 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.

235 services84 patients

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.

202 services133 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.

169 services77 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

84 services78 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.

56 services56 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

55 services25 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.

23 services23 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

22 services21 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.

21 services17 patients

Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365

This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Mount Carmel St Ann's

Acute Care Hospitals · Westerville, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360012

Location500 South Cleveland AvenueWesterville, OH 43081 · Franklin County

Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360035

Location6001 East Broad StreetColumbus, OH 43213 · Franklin County

Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43219 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

$166.65 typical visit price

range $54.34 – $166.65

Typical copayment $41.66 (range $13.58 – $41.66)

Most-billed visit code 99205

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

81.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

73.58

Promoting Interoperability

Improvement Activities

Cost

65.77

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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.

PATRICK ELWOOD MD

Internal Medicine (Hematology & Oncology)