NIMESH S SHAH MD
NPI 1740227990
Internal Medicine in Rockville, MD
About Nimesh S Shah Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIMESH S SHAH MD (NPI 1740227990) is an individual internal medicine provider in Rockville, Maryland, licensed in Maryland (D0064415) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Franklin Square Medical Center, and maintains a secondary practice location in Cumberland.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted 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
Nimesh S 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nimesh Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Washington, DC 20007
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- Also billed through NPI 1376887844 (Maryland)
- 3,530 clinicians in this Medicare group
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- Medicare enrollment name: Whc Physician Group LLC
- 613 clinicians in this Medicare group
Cumberland, MD 21502
- Reassigned Medicare billing, Maryland enrollment
- 210 clinicians in this Medicare group
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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Medstar Franklin Square Medical Center
Acute Care Hospitals · Rosedale, MDMedstar Union Memorial Hospital
Acute Care Hospitals · Baltimore, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 20850 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
ROCKVILLE, MD 20850
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 Nimesh Shah's NPI number?
The NPI number for Nimesh Shah is 1740227990. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Nimesh Shah located?
Nimesh Shah practices at 9901 Medical Center Dr, Rockville, MD 20850. The listed phone number is (301) 279-6021.
What is Nimesh Shah's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nimesh Shah enrolled in Medicare?
Yes. Nimesh 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 organizations bill Medicare for Nimesh Shah's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nimesh Shah reassigns Medicare benefits to 3 organizations: Medstar Medical Group II LLC (Washington, DC), Whc Emerg Phys (Washington, DC) and Upmc Western Maryland Corporation (Cumberland, MD). Each 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 Nimesh Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nimesh Shah accept?
Health plans from CareSource list Nimesh 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 Nimesh Shah affiliated with any hospitals?
According to CMS data, Nimesh Shah is affiliated with Medstar Franklin Square Medical Center and Medstar Union Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Nimesh Shah was last updated on March 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Nimesh S Shah, MD · NPI 1740227990
Internal Medicine physician in Rockville, Maryland. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1740227990 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** D0064415 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 9901 MEDICAL CENTER DR, Rockville, MD 20850-3357
- **Phone:** (301) 279-6021 · **Fax:** (240) 453-5702
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Medstar Medical Group II LLC (NPI 1205562816, Washington, DC); Whc Emerg Phys (NPI 1306260625, Washington, DC); Upmc Western Maryland Corporation (NPI 1285779884, Cumberland, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Emory University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** March 13, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1740227990) · Data from the CMS NPPES public registry.