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DR. ASHWIN H SHAH MD
NPI 1710983812
Urology in Monroe, MI

Active since June 23, 2005PECOS EnrolledAccepts Medicare Assignment
730 N MACOMB ST, STE 319, MONROE, MI 48162(734) 241-3900(734) 241-3538 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Ashwin H Shah Md NPPES

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

DR. ASHWIN H SHAH MD (NPI 1710983812) is an individual urology provider in Monroe, Michigan, licensed in Michigan (4301043074) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Promedica Monroe Regional Hospital, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1710983812
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. ASHWIN H SHAHCredential: MD
Location Address730 N MACOMB ST, STE 319Monroe, MI 48162
Mailing Address360 Santure StMonroe, MI 48162-4128 · (734) 241-3900 · Fax (734) 241-3538
Phone(734) 241-3900
Fax(734) 241-3538
Sole ProprietorYes
Medical School CMSOtherGraduated 1977
Enumeration DateJune 23, 2005
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1710983812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MI · 4301043074
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
730 N MACOMB ST, Monroe, MI 48162
Open in Google Maps ↗

Other Identifiers 5

Other3405810232MI · Bcbs
Medicaid104595322MI
Other02011MI · Paramount
Other0514942OH · Palmetto Gba Ohio Claims
OtherP00114142Palmetto Gba

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.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

Dr. Ashwin H 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 ID6305822818
PECOS Enrollment IDI20040630000563
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.

Medicare Billing Reassignment

Medicare enrollment records show Ashwin Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ashwin H Shah MD PC
0.1 mi
Urology
718 N MACOMB ST
Monroe, MI 48162
  • Reassigned Medicare billing, Michigan enrollment
NPI 1407995822 (614) 500-4373

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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
469 services121 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.
123 services113 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.
20 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Promedica Monroe Regional Hospital

Acute Care Hospitals · Monroe, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230099
Location718 N Macomb StMonroe, MI 48162 · Monroe County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48162 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
71%292 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
58%1,109 patients3/55-star benchmark: 85%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
66%307 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%2,820 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
78%2,000 patients3/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
0%997 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
72%997 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
45%881 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
89%2,017 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 69% · 803 patients
Patients tobacco: 68% · 803 patients
96%120 patients4/55-star benchmark: 98%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
87%997 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
0%997 patients1/55-star benchmark: 75%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 881 patients
7%881 patients3/55-star benchmark: 100%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
3%997 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
2 suppliers70 claims11,135 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
5 suppliers59 claims12,300 services$1.69 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
2 suppliers72 claims8,730 services$5.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MONROE EAR, NOSE AND THROAT ASSOCIATES, P.C.
Otolaryngology
730 N MACOMB ST, SUITE 320
MONROE, MI 48162
Monroe County (734) 243-5020
PROMEDICA CENTRAL PHYSICIANS LLC
Pediatrics (Pediatric Gastroenterology)
730 N MACOMB ST, SUITE 300
MONROE, MI 48162
Monroe County (419) 291-7010
MICHAEL J CHARBONEAU JR DO PLLC
Surgery
730 N MACOMB ST, SUITE 329
MONROE, MI 48162
Monroe County (734) 241-4245
LESLY POMPY MD
Pain Medicine (Interventional Pain Medicine)
730 N MACOMB ST, SUITE 410
MONROE, MI 48162
Monroe County (734) 242-9482
CARDIOLOGY CONSULTANTS OF MICHIGAN & OHIO, P.C.
Specialist
730 N MACOMB ST, STE #429
MONROE, MI 48162
Monroe County (734) 242-7060
JONATHAN E. PASKO,MD,PC
Pediatrics
730 N MACOMB ST, SUITE 324
MONROE, MI 48162
Monroe County (734) 242-2440
PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS, LLC
Internal Medicine (Cardiovascular Disease)
730 N MACOMB ST, SUITE 429
MONROE, MI 48162
Monroe County (734) 242-7060
MS. LISA M VICK PHARM D.
Pharmacist
730 N MACOMB ST
MONROE, MI 48162
Monroe County (734) 240-4100

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 Ashwin Shah's NPI number?

The NPI number for Ashwin Shah is 1710983812. It was assigned to this individual provider in the NPPES registry on June 23, 2005.

Where is Ashwin Shah located?

Ashwin Shah practices at 730 N Macomb St Ste 319, Monroe, MI 48162. The listed phone number is (734) 241-3900.

What is Ashwin Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ashwin Shah enrolled in Medicare?

Yes. Ashwin 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 organization bills Medicare for Ashwin Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashwin Shah reassigns Medicare benefits to Ashwin H Shah MD PC (Monroe, MI). The 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 Ashwin Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashwin Shah accept?

Health plans from Priority Health list Ashwin 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 Ashwin Shah affiliated with any hospitals?

According to CMS data, Ashwin Shah is affiliated with Promedica Monroe Regional Hospital and Promedica Toledo Hospital.

When was this NPI record last updated?

The NPPES record for Ashwin Shah was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.