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KUNJAN SHAH M.D.
NPI 1730574658
Family Medicine - Adult Medicine in Mesa, AZ

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
255 W BROWN RD, MESA, AZ 85201(480) 985-1093(480) 296-7665 Get Directions Write a Review

NPPES record last updated: September 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kunjan Shah M.d. NPPES

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

KUNJAN SHAH M.D. (NPI 1730574658) is an individual adult medicine provider in Mesa, Arizona, licensed in Arizona (55745) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1730574658
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameKUNJAN SHAHCredential: M.D.
Location Address255 W BROWN RDMesa, AZ 85201-3404
Mailing AddressPo Box 20610Mesa, AZ 85277-0610 · (480) 985-1093 · Fax (480) 296-7665
Phone(480) 985-1093
Fax(480) 296-7665
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 30, 2015
Last NPPES UpdateSeptember 28, 2023
NPPES CertifiedSeptember 28, 2023
✔ NPI 1730574658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in AZ · 55745
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 55745 (AZ)
255 W BROWN RD, Mesa, AZ 85201
Open in Google Maps ↗

Secondary Practice Locations 2

Location 147 New Scotland Ave Dept OfAlbany, NY 12208-3412 · Phone (518) 207-2273
Location 25555 W Thunderbird RdGlendale, AZ 85306 · Phone (602) 865-5555

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..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

Kunjan 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 ID9436409927
PECOS Enrollment IDI20180904002090
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 10

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 moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
551 services206 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
517 services80 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
167 services162 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
131 services45 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
87 services76 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
55 services52 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85201 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$5.10 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 19

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

DR. NEYCHELLE CHAHAL ROCCA MD
Hospitalist
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 985-1093
CAROL ANN KAPPELMANN
Physical Therapy Assistant
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 833-3988
EVERGREEN MESA CHRISTIAN, L.L.C.
Skilled Nursing Facility
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 833-3988
MESA ARIZONA SNF HEALTHCARE, LLC
Skilled Nursing Facility
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 833-3988
MEHRAN DARZY FNP-C
Nurse Practitioner (Family)
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 985-1093
LIFELINE HOSPITALIST ASSOCIATES LLC
Internal Medicine
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 985-1093
JEREMY LARKIN CONOWAY PTA
Physical Therapy Assistant
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 329-8975
SHARON A CONRAD
Occupational Therapy Assistant
255 W BROWN RD
MESA, AZ 85201
Maricopa County (480) 833-3988

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 Kunjan Shah's NPI number?

The NPI number for Kunjan Shah is 1730574658. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Kunjan Shah located?

Kunjan Shah practices at 255 W Brown Rd, Mesa, AZ 85201. The listed phone number is (480) 985-1093.

What is Kunjan Shah's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kunjan Shah enrolled in Medicare?

Yes. Kunjan 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 Kunjan Shah accept?

Health plans from Oscar Health Plan, Inc. list Kunjan 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.

When was this NPI record last updated?

The NPPES record for Kunjan Shah was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.