ANISH P SHAH MD
NPI 1699790436
Internal Medicine - Nephrology in Woodbridge, VA

Active since July 13, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
14085 CROWN CT, WOODBRIDGE, VA 22193(703) 763-5224(703) 763-5374 Get Directions Write a Review

NPPES record last updated: June 2, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anish P Shah Md NPPES

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

ANISH P SHAH MD (NPI 1699790436) is an individual nephrology provider in Woodbridge, Virginia, licensed in Maryland (D0061027) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1699790436
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameANISH P SHAHCredential: MD
Location Address14085 CROWN CTWoodbridge, VA 22193-1458
Mailing Address14085 Crown CtWoodbridge, VA 22193-1458 · (703) 763-5224 · Fax (703) 763-5374
Fax(703) 763-5374
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 13, 2006
Last NPPES UpdateJune 2, 2011
NPI 1699790436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in MD · D0061027
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
14085 CROWN CT, Woodbridge, VA 22193

Other Identifiers 9

OtherP00376508MD · Rr Medicare
Other03010002DC · Care First Bcbs
Medicaid410276200MD
Medicare PING02226V02DC
Medicare UPINH91708MD
Other89511901MD · Care First Bcbs
Medicare PING02225V01MD
Medicaid038049200DC
OtherP00422892DC · Rrmcr Dc

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

Anish P Shah Md 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 ID8527029727
PECOS Enrollment IDI20060118000957, I20110802000107, I20200406001382
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 30

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.

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml Q9967
Low osmolar contrast material with 300-399 mg/ml iodine concentration is a diagnostic tool used in imaging procedures. It helps to enhance the visibility of specific areas in the body, aiding in accurate diagnosis. It's safe and generally well-tolerated by patients.
14,112 services171 patients
Injection, midazolam hydrochloride, per 1 mg J2250
Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).
463 services163 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
265 services169 patients
Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
143 services99 patients
Balloon dilation of dialysis segment with review by radiologist 36907
Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.
130 services92 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
109 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22193 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections
Percentage of patients, regardless of age, who undergo central venous catheter (CVC) insertion for whom CVC was inserted with all elements of maximal sterile barrier technique, hand hygiene, skin preparation and, if ultrasound is used, sterile ultrasound…
100%51 patients
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Acute Care)
14085 CROWN CT
WOODBRIDGE, VA 22193
Nurse Practitioner (Family)
14085 CROWN CT
WOODBRIDGE, VA 22193
Internal Medicine (Nephrology)
14085 CROWN CT
WOODBRIDGE, VA 22193

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 Anish Shah's NPI number?

The NPI number for Anish Shah is 1699790436. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Anish Shah located?

Anish Shah practices at 14085 Crown Ct, Woodbridge, VA 22193. The listed phone number is (703) 763-5224.

What is Anish Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Anish Shah enrolled in Medicare?

Yes. Anish 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 Anish Shah was last updated on June 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.