PRIYA J. SHAH MD
NPI 1730566142
Family Medicine in Galveston, TX

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
301 UNIVERSITY BLVD, GALVESTON, TX 77555(409) 772-2222 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2019, Nov 2, 2017 (2 updates tracked since 2017).

About Priya J. Shah Md NPPES

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

PRIYA J. SHAH MD (NPI 1730566142) is an individual family medicine provider in Galveston, Texas, licensed in Texas (S3063) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains a secondary practice location in Brooklyn.

NPPES Registry Identity

NPI1730566142
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePRIYA J. SHAHCredential: MD
Location Address301 UNIVERSITY BLVDGalveston, TX 77555
Mailing Address301 University BlvdGalveston, TX 77555-5302 · (409) 772-2222
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 5, 2015
Last NPPES UpdateSeptember 12, 20192 updates tracked since enumeration
NPI 1730566142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S3063
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
301 UNIVERSITY BLVD, Galveston, TX 77555

Secondary Practice Location 1

Location 1121 Dekalb AveBrooklyn, NY 11201-5425 · Phone (718) 250-8621 · Fax (718) 250-8878

Accepted 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

Priya J. 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 ID6204124787
PECOS Enrollment IDI20190826002466
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.
168 services94 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.
142 services104 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77555 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
$88.24 typical visit price
range $57.19 – $173.07
Typical copayment $22.06 (range $14.29 – $43.26)
Most-billed visit code 99203
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

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.

Nurse Practitioner (Pediatrics)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Nurse Practitioner (Neonatal)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Surgery (Trauma Surgery)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Psychiatry & Neurology (Neurology)
301 UNIVERSITY BLVD, JSA 9.128
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Internal Medicine (Endocrinology, Diabetes & Metabolism)
301 UNIVERSITY BLVD
GALVESTON, TX 77555
Anesthesiology
301 UNIVERSITY BLVD
GALVESTON, TX 77555

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 Priya Shah's NPI number?

The NPI number for Priya Shah is 1730566142. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Priya Shah located?

Priya Shah practices at 301 University Blvd, Galveston, TX 77555. The listed phone number is (409) 772-2222.

What is Priya Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Priya Shah enrolled in Medicare?

Yes. Priya 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 Priya Shah accept?

Health plans from Community Health Choice and Oscar Insurance Company list Priya 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 Priya Shah affiliated with any hospitals?

According to CMS data, Priya Shah is affiliated with University Of Texas Medical Branch Galveston and Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Priya Shah was last updated on September 12, 2019. 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.