NIMESH S SHAH MD
NPI 1740227990
Internal Medicine in Rockville, MD

Active since May 31, 2006PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
9901 MEDICAL CENTER DR, ROCKVILLE, MD 20850(301) 279-6021(240) 453-5702 Get Directions Write a Review

NPPES record last updated: March 13, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Union Memorial Hospital, and maintains a secondary practice location in Cumberland.

NPPES Registry Identity

NPI1740227990
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNIMESH S SHAHCredential: MD
Location Address9901 MEDICAL CENTER DRRockville, MD 20850-3357
Mailing Address1201 Seven Locks Rd, Suite 200Rockville, MD 20854-2931 · (301) 652-5771 · Fax (301) 652-6332
Fax(240) 453-5702
Sole ProprietorNo
Medical School CMSEmory University School Of MedicineGraduated 2010
Enumeration DateMay 31, 2006
Last NPPES UpdateMarch 13, 2019
NPI 1740227990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MD · D0064415
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D64415 (MD)
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License D64415 (MD)
9901 MEDICAL CENTER DR, Rockville, MD 20850

Secondary Practice Location 1

Location 112502 Willowbrook RdCumberland, MD 21502-6491 · Phone (240) 964-8750 · Fax (240) 964-8699

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

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.

PECOS PAC ID9830121763
PECOS Enrollment IDI20060822000447, I20190412000093
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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
308 services139 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
179 services72 patients
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.
108 services61 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Medstar Union Memorial Hospital

Acute Care Hospitals · Baltimore, MD
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number210024
Location201 East University ParkwayBaltimore, MD 21218 · Baltimore City County
Emergency services

Physician 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.

New Patient
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Social Worker
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Pharmacist (Pharmacotherapy)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Internal Medicine
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Pediatrics (Neonatal-Perinatal Medicine)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Physician Assistant (Surgical)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Counselor (Professional)
9901 MEDICAL CENTER DR
ROCKVILLE, MD 20850
Pediatrics
9901 MEDICAL CENTER DR, PEDIATRIC FLOOR
ROCKVILLE, MD 20850
Physician Assistant (Medical)
9901 MEDICAL CENTER DR
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.

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 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 with the weekly NPPES data releases published by CMS.