PRITI A SHAH DO
NPI 1750642187
Internal Medicine in Philadelphia, PA

Active since June 01, 2012PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
10800 KNIGHTS RD, PHILADELPHIA, PA 19114(215) 612-5161 Get Directions Write a Review

NPPES record last updated: May 17, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priti A Shah Do NPPES

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

PRITI A SHAH DO (NPI 1750642187) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (OS017748) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1750642187
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NamePRITI A SHAHCredential: DO
Location Address10800 KNIGHTS RDPhiladelphia, PA 19114-4200
Mailing Address10800 Knights RdPhiladelphia, PA 19114-4200 · (215) 612-5161
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 1, 2012
Last NPPES UpdateMay 17, 2016
NPI 1750642187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS017748
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.
10800 KNIGHTS RD, Philadelphia, PA 19114

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

Priti A Shah Do 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 ID8224347950
PECOS Enrollment IDI20161205002361
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 2

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.
87 services37 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.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19114 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Nurse Practitioner (Primary Care)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Nurse Anesthetist, Certified Registered
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Surgery (Trauma Surgery)
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Student in an Organized Health Care Education/Training Program
10800 KNIGHTS RD
PHILADELPHIA, PA 19114
Physician Assistant
10800 KNIGHTS RD
PHILADELPHIA, PA 19114

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 Priti Shah's NPI number?

The NPI number for Priti Shah is 1750642187. It was assigned to this individual provider in the NPPES registry on June 1, 2012.

Where is Priti Shah located?

Priti Shah practices at 10800 Knights Rd, Philadelphia, PA 19114. The listed phone number is (215) 612-5161.

What is Priti Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Priti Shah enrolled in Medicare?

Yes. Priti 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 Priti Shah accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Priti 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 Priti Shah affiliated with any hospitals?

According to CMS data, Priti Shah is affiliated with Memorial Hermann - Texas Medical Center.

When was this NPI record last updated?

The NPPES record for Priti Shah was last updated on May 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.