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KRUPA SHAH PA
NPI 1720232978
Physician Assistant in Baltmore, MD

Active since November 13, 2008PECOS EnrolledAccepts Medicare Assignment
69.07/100
CMS Quality Rating
900 S CATON AVENUE, BALTMORE, MD 21229(410) 368-6000 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Krupa Shah Pa NPPES

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

KRUPA SHAH PA (NPI 1720232978) is an individual physician assistant in Baltmore, Maryland, licensed in Maryland (C0003819) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720232978
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKRUPA SHAHCredential: PA
Location Address900 S CATON AVENUEBaltmore, MD 21229
Mailing Address5005 Kemsley RoadRosedale, MD 21237 · (443) 851-5425
Phone(410) 368-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 13, 2008
Last NPPES UpdateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1720232978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MD · C0003819
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 S CATON AVENUE, Baltmore, MD 21229
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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

Krupa Shah Pa 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 ID4284786815
PECOS Enrollment IDI20090713000554, I20140515001589
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 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.

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.
1,844 services359 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
443 services222 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0483
A definitive drug test identifies specific drugs in your system. It uses advanced methods like gc/ms and lc/ms, which can distinguish between different types of drugs but not necessarily their 3D forms. This test offers detailed results to support your healthcare decisions.
440 services222 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.
150 services111 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21229 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

69.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality53.23
Promoting Interoperability100
Improvement Activities40
Cost27.02

Reported Quality Measures

Advance Care Plan
66%349 patients3/55-star benchmark: 100%
Overuse of Imaging for the Evaluation of Primary Headache
Lower rates are better for this measure.
2%83 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
89%898 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
63%635 patients3/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
4%2,283 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 45% · 599 patients
Patients screened: 51% · 599 patients
52%66 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 79% · 599 patients
Patients screened: 87% · 599 patients
34%73 patients
Provide Patients Electronic Access to Their Health Information
100%572 patients5/55-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 4

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

JAI JOSHI
Student in an Organized Health Care Education/Training Program
900 S CATON AVENUE
BALTIMORE, MD 21229
Baltimore City (667) 234-2718
DANA EUN LEE PHARMD, BCPS
Pharmacist (Ambulatory Care)
900 S CATON AVENUE, HEALTH INSTITUTE BUILDING (POPULATION HEALTH DEPT)
BALTIMORE, MD 21229
Baltimore City (667) 234-6000
BARA HASANAIN
Internal Medicine
900 S CATON AVENUE
BALTIMORE, MD 21229
Baltimore City (667) 234-5724
MR. MICHAEL EWALD DEMBECK PAC
Physician Assistant
900 S CATON AVENUE
BALTIMORE, MD 21229
Baltimore City (410) 368-2000

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 Krupa Shah's NPI number?

The NPI number for Krupa Shah is 1720232978. It was assigned to this individual provider in the NPPES registry on November 13, 2008.

Where is Krupa Shah located?

Krupa Shah practices at 900 S Caton Avenue, Baltmore, MD 21229. The listed phone number is (410) 368-6000.

What is Krupa Shah's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Krupa Shah enrolled in Medicare?

Yes. Krupa 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 Krupa Shah was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.