1. Home
  2. Directory
  3. Virginia
  4. Richmond
  5. Internal Medicine
  6. NPI Profile

NEHAL RACHIT SHAH MD
NPI 1710155817
Internal Medicine - Rheumatology in Richmond, VA

Active since February 12, 2008PECOS EnrolledAccepts Medicare Assignment
76.23/100
CMS Quality Rating
1250 E MARSHALL STREET, RICHMOND, VA 23298(804) 828-2161(804) 828-0283 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nehal Rachit Shah Md NPPES

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

NEHAL RACHIT SHAH MD (NPI 1710155817) is an individual rheumatology provider in Richmond, Virginia, licensed in Virginia (0101252511) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Medical College Of Virginia Hospitals, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1710155817
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameNEHAL RACHIT SHAHCredential: MD
Location Address1250 E MARSHALL STREETRichmond, VA 23298-0510
Mailing AddressPo Box 91734Richmond, VA 23291-1734 · (804) 358-6100 · Fax (804) 342-7619
Phone(804) 828-2161
Fax(804) 828-0283
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 12, 2008
Last NPPES UpdateOctober 17, 2012
✔ NPI 1710155817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in VA · 0101252511✔ Licensed in PA · MD442818
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 4301087918 (MI)
1250 E MARSHALL STREET, Richmond, VA 23298
Open in Google Maps ↗

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

Nehal Rachit 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 ID2264600022
PECOS Enrollment IDI20121210000430
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 5

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.
186 services113 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.
32 services27 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.
25 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Vcu Health Tappahannock Hospital

Acute Care Hospitals · Tappahannock, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490084
Location618 Hospital RoadTappahannock, VA 22560 · Essex County
Emergency services

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23298 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.

76.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.58
Promoting Interoperability100
Improvement Activities40
Cost56.18

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.

DR. CHRISTINE H LLEWELLYN M.D.
Radiology (Diagnostic Radiology)
1250 E MARSHALL STREET, RADIOLOGY
RICHMOND, VA 23298
Richmond City (804) 828-8262
STEWART JAMES WETCHLER MD
Obstetrics & Gynecology (Gynecology)
1250 E MARSHALL STREET
RICHMOND, VA 23298
Richmond City (757) 220-1246
DR. MARTIN F GRAHAM M.D.
Pediatrics (Pediatric Gastroenterology)
1250 E MARSHALL STREET, PEDIATRICS
RICHMOND, VA 23298
Richmond City (804) 828-3744
DR. RUMA G ADAMS M.D.
Internal Medicine
1250 E MARSHALL STREET, INTERNAL MEDICINE
RICHMOND, VA 23298
Richmond City (804) 560-8950
DR. LAWRENCE DANIEL MORTON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1250 E MARSHALL STREET, NEUROLOGY
RICHMOND, VA 23298
Richmond City (804) 828-0442
DR. WILLIAM C BROADDUS M.D., PH.D.
Neurological Surgery
1250 E MARSHALL STREET, NEUROSURGERY
RICHMOND, VA 23298
Richmond City (804) 828-2437
KEENE B PICKARD CRNA
Nurse Anesthetist, Certified Registered
1250 E MARSHALL STREET, ANESTHESIA CRNA
RICHMOND, VA 23298
Richmond City (804) 628-6975
DR. MELISSA COLLINS SMALLFIELD MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1250 E MARSHALL STREET
RICHMOND, VA 23298
Richmond City (804) 828-7626

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 Nehal Shah's NPI number?

The NPI number for Nehal Shah is 1710155817. It was assigned to this individual provider in the NPPES registry on February 12, 2008.

Where is Nehal Shah located?

Nehal Shah practices at 1250 E Marshall Street, Richmond, VA 23298. The listed phone number is (804) 828-2161.

What is Nehal Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nehal Shah enrolled in Medicare?

Yes. Nehal 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 Nehal Shah affiliated with any hospitals?

According to CMS data, Nehal Shah is affiliated with Medical College Of Virginia Hospitals, Vcu Health Tappahannock Hospital and Community Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nehal Shah was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.