DHVANI SHAH M.D.
NPI 1790075828
Internal Medicine - Gastroenterology in Raleigh, NC

Q: What is Dhvani Shah's NPI number?

The NPI number for Dhvani Shah is 1790075828. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Q: What is Dhvani Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Dhvani Shah was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since April 11, 2011PECOS Enrolled

3237 BLUE RIDGE RD, RALEIGH, NC 27612(919) 781-7500 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dhvani Shah M.d. NPPES

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

DHVANI SHAH M.D. (NPI 1790075828) is an individual gastroenterology provider in Raleigh, North Carolina, licensed in District Of Columbia (MD045061) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Warren Alpert Medical School Of Brown University (2011).

NPPES Registry Identity

NPI1790075828

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDHVANI SHAHCredential: M.D.

Location Address3237 BLUE RIDGE RDRaleigh, NC 27612-8010

Mailing Address3237 Blue Ridge RdRaleigh, NC 27612-8010 · (919) 781-7500

Phone(919) 781-7500

Sole ProprietorYes

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2011

Enumeration DateApril 11, 2011

Last NPPES UpdateAugust 17, 20264 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1790075828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in DC · MD045061

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3237 BLUE RIDGE RD, Raleigh, NC 27612

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Secondary Practice Locations 2

Location 1111 E 210th St, Montiefiore Medical Center, Attn: GI DepartmentBronx, NY 10467-2401 · Phone (718) 920-4846 · Fax (718) 798-6408

Location 22021 K St NW Ste 500Washington, DC 20006-1003 · Phone (202) 296-3449 · Fax (202) 296-0301

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dhvani Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456623289

PECOS Enrollment IDI20221201001296

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.

Medicare Billing Reassignment

Medicare enrollment records show Dhvani Shah reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Wake Internal Medicine Consultants, Inc.

Same address

Internal Medicine

3237 BLUE RIDGE RD
Raleigh, NC 27612

Reassigned Medicare billing, North Carolina enrollment
37 clinicians in this Medicare group

NPI 1699760926 (919) 781-7500

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 12

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

35 services35 patients

Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065

This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.

34 services20 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.

24 services23 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

21 services21 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

21 services21 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

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.

19 services19 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

14 services14 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

13 services13 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

13 services13 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

12 services12 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27612 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

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.

KATHERINE WILLIAMS PA-C

Physician Assistant (Medical)