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DR. DIPTI SHAH M.D.
NPI 1710952825
Internal Medicine - Rheumatology in Livonia, MI

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
97.81/100
CMS Quality Rating
15134 LEVAN RD, LIVONIA, MI 48154(734) 779-2126(734) 779-2151 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 11, 2020, Feb 3, 2020, Dec 6, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Dipti Shah M.d. NPPES

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

DR. DIPTI SHAH M.D. (NPI 1710952825) is an individual rheumatology provider in Livonia, Michigan, licensed in Michigan (4301048043) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with St Joe Mercy Hospital System Livonia, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1710952825
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. DIPTI SHAHCredential: M.D.
Location Address15134 LEVAN RDLivonia, MI 48154
Mailing Address15134 Levan RdLivonia, MI 48154-5027 · (734) 779-2126 · Fax (734) 779-2151
Phone(734) 779-2126
Fax(734) 779-2151
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMay 11, 20204 updates tracked since enumeration
NPPES CertifiedMay 11, 2020
✔ NPI 1710952825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in MI · 4301048043
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 ListedSpecialistTaxonomy 174400000X · License DS048043 (MI)
15134 LEVAN RD, Livonia, MI 48154
Open in Google Maps ↗

Other Identifiers 1

Medicaid1649318908MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Dr. Dipti 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 ID3870668205
PECOS Enrollment IDI20080820000375
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 3

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.
481 services199 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.
55 services55 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.
32 services26 patients

Hospital Affiliations CMS Care Compare 5

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

St Joe Mercy Hospital System Livonia

Acute Care Hospitals · Livonia, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230002
Location36475 Five Mile RoadLivonia, MI 48154 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48154 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

97.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality97.12
Promoting Interoperability98
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%537 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
89%55 patients4/55-star benchmark: 98%
Documentation of Current Medications in the Medical Record
100%2,388 patients5/55-star benchmark: 100%
e-Prescribing
95%1,024 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,008 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
86%1,947 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 67% · 667 patients
Patients screened: 67% · 667 patients
100%40 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
98%503 patients4/55-star benchmark: 100%
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.

ASSOCIATES IN GASTROENTEROLOGY,P.C.
Internal Medicine (Gastroenterology)
15134 LEVAN RD
LIVONIA, MI 48154
Wayne County (734) 779-2143
DR. GUNJAN P SHAH M.D.
Internal Medicine (Gastroenterology)
15134 LEVAN RD, SUITE 34
LIVONIA, MI 48154
Wayne County (734) 779-2143
ARTHRITIS CONSULTANTS, P.C.
Internal Medicine (Rheumatology)
15134 LEVAN RD
LIVONIA, MI 48154
Wayne County (734) 779-2151

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 Dipti Shah's NPI number?

The NPI number for Dipti Shah is 1710952825. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Dipti Shah located?

Dipti Shah practices at 15134 Levan Rd, Livonia, MI 48154. The listed phone number is (734) 779-2126.

What is Dipti Shah's specialty?

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

Is Dipti Shah enrolled in Medicare?

Yes. Dipti 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.

What insurance does Dipti Shah accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Dipti 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 Dipti Shah affiliated with any hospitals?

According to CMS data, Dipti Shah is affiliated with St Joe Mercy Hospital System Livonia, Beaumont Hospital - Dearborn, Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Dipti Shah was last updated on May 11, 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.