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DR. ZIA H SHAH MD
NPI 1750362380
Internal Medicine - Pulmonary Disease in Binghamton, NY

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
161 RIVERSIDE DR, SUITE M 09, BINGHAMTON, NY 13905(607) 797-6363(866) 546-2496 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Zia H Shah Md NPPES

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

DR. ZIA H SHAH MD (NPI 1750362380) is an individual pulmonary disease provider in Binghamton, New York, licensed in New York (199773) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1750362380
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ZIA H SHAHCredential: MD
Location Address161 RIVERSIDE DR, SUITE M 09Binghamton, NY 13905-4176
Mailing Address161 Riverside DrBinghamton, NY 13905-4176 · (607) 797-6363 · Fax (866) 546-2496
Phone(607) 797-6363
Fax(866) 546-2496
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateNovember 10, 2005
Last NPPES UpdateFebruary 6, 2013
✔ NPI 1750362380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NY · 199773
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
161 RIVERSIDE DR, Binghamton, NY 13905
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Other Identifiers 2

Medicare UPINF74962NY
Medicaid01643594NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Zia H 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 ID2264413350
PECOS Enrollment IDI20040525001475, I20150717002117
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 11

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.
403 services225 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.
194 services162 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
88 services84 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
86 services82 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.
67 services54 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

United Health Services Hospitals, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330394
Location10-42 Mitchell AvenueBinghamton, NY 13903 · Broome County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13905 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.57
Promoting Interoperability95
Improvement Activities40
Cost64.87

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
18 suppliers303 claims304 services$40.76 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
24 suppliers549 claims550 services$101.67 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers531 claims1,349 services$37.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
21 suppliers409 claims2,210 services$20.07 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers134 claims740 services$15.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
26 suppliers596 claims596 services$58.90 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 20

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

DR. THOMAS PARSLEY MD
Internal Medicine
161 RIVERSIDE DR, SUITE 306
BINGHAMTON, NY 13905
Broome County (607) 798-6700
BINGHAMTON PLASTIC SURGERY, PLLC
Specialist
161 RIVERSIDE DR, SUITE 106
BINGHAMTON, NY 13905
Broome County (607) 729-0101
SANDY NASR MD
Internal Medicine (Rheumatology)
161 RIVERSIDE DR
BINGHAMTON, NY 13905
Broome County (607) 798-1842
MARK A DREHER DDS MD PC
Dentist
161 RIVERSIDE DR, SUITE 201
BINGHAMTON, NY 13905
Broome County (607) 748-7169
DR. DAVID C DREYFUSS M.D.
Surgery
161 RIVERSIDE DR, SUITE 105
BINGHAMTON, NY 13905
Broome County (607) 770-9471
CELESTE R KEEFE C.N.M.
Advanced Practice Midwife
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074
JEROME C COHEN, MD, PC
Internal Medicine (Gastroenterology)
161 RIVERSIDE DR, SUITE 210
BINGHAMTON, NY 13905
Broome County (607) 770-1155
LINDA S DICKEY R.N.C.N.P.
Nurse Practitioner (Obstetrics & Gynecology)
161 RIVERSIDE DR, SUITE 109
BINGHAMTON, NY 13905
Broome County (607) 770-7074

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 Zia Shah's NPI number?

The NPI number for Zia Shah is 1750362380. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Zia Shah located?

Zia Shah practices at 161 Riverside Dr Suite M 09, Binghamton, NY 13905. The listed phone number is (607) 797-6363.

What is Zia Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Zia Shah enrolled in Medicare?

Yes. Zia 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 Zia Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Zia 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 Zia Shah affiliated with any hospitals?

According to CMS data, Zia Shah is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, United Health Services Hospitals, Inc and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Zia Shah was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.