BIRAJ B SHAH
NPI 1699386888
Nurse Practitioner - Family in Frisco, TX
About Biraj B Shah NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BIRAJ B SHAH (NPI 1699386888) is an individual family provider in Frisco, Texas, licensed in Texas (940646) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Biraj B 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.
Medicare Billing Reassignments
6Medicare enrollment records show Biraj Shah reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allen, TX 75013
- Reassigned Medicare billing, Texas enrollment
- 7 clinicians in this Medicare group
Dallas, TX 75230
- Reassigned Medicare billing, Texas enrollment
- 486 clinicians in this Medicare group
Sherman, TX 75092
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Sherman, TX 75092
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Round Rock, TX 78664
- Reassigned Medicare billing, Texas enrollment
- 493 clinicians in this Medicare group
Amarillo, TX 79119
- Reassigned Medicare billing, Texas enrollment
- 101 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medical City Plano
Acute Care Hospitals · Plano, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75035 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Biraj Shah's NPI number?
The NPI number for Biraj Shah is 1699386888. It was assigned to this individual provider in the NPPES registry on August 12, 2020.
Where is Biraj Shah located?
Biraj Shah practices at 14611 Snowshill Dr, Frisco, TX 75035. The listed phone number is (469) 492-8615.
What is Biraj Shah's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Biraj Shah enrolled in Medicare?
Yes. Biraj 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.
Which organizations bill Medicare for Biraj Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Biraj Shah reassigns Medicare benefits to 6 organizations: Medical Associates Of Texas, PA (Allen, TX), Questcare Hospitalists PLLC (Dallas, TX), Healthy Heart Cardiology PLLC (Sherman, TX), Highland MD Group (Sherman, TX), Minuteclinic Diagnostic Of Texas PLLC (Round Rock, TX) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Biraj Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Biraj Shah accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Biraj 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 Biraj Shah affiliated with any hospitals?
According to CMS data, Biraj Shah is affiliated with Medical City Plano.
When was this NPI record last updated?
The NPPES record for Biraj Shah was last updated on August 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Biraj B Shah · NPI 1699386888
Family physician in Frisco, Texas. Individual provider, active in the CMS NPPES registry since August 12, 2020.
## Identity
- **NPI:** 1699386888 (Entity type: Individual)
- **Enumerated:** August 12, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 940646 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14611 SNOWSHILL DR, Frisco, TX 75035-7233
- **Phone:** (469) 492-8615
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Medical Associates Of Texas, PA (NPI 1548663651, Allen, TX); Questcare Hospitalists PLLC (NPI 1265441620, Dallas, TX); Healthy Heart Cardiology PLLC (NPI 1235593617, Sherman, TX); Highland MD Group (NPI 1366236531, Sherman, TX); Minuteclinic Diagnostic Of Texas PLLC (NPI 1609076330, Round Rock, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1699386888) · Data from the CMS NPPES public registry.