DR. ALI SHAH MD
NPI 1790306058
Internal Medicine in Fremont, MI

Active since April 28, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
212 S SULLIVAN AVE, FREMONT, MI 49412(616) 391-3139 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 31, 2023, Aug 19, 2020 (2 updates tracked since 2020).

About Dr. Ali Shah Md NPPES

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

DR. ALI SHAH MD (NPI 1790306058) is an individual internal medicine provider in Fremont, Michigan, licensed in Michigan (4301508300) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1790306058
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALI SHAHCredential: MD
Location Address212 S SULLIVAN AVEFremont, MI 49412-1548
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 28, 2020
Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration
NPPES CertifiedJuly 31, 2023
NPI 1790306058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MI · 4301508300
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.

212 S SULLIVAN AVE, Fremont, MI 49412

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

Dr. Ali 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 ID5092131961
PECOS Enrollment IDI20230606003092
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 5

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
110 services60 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.
88 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
59 services58 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
51 services51 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.
40 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231338
Location212 S Sullivan StFremont, MI 49412 · Newaygo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49412 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
212 S SULLIVAN AVE
FREMONT, MI 49412
Nurse Anesthetist, Certified Registered
212 S SULLIVAN AVE
FREMONT, MI 49412
Nurse Anesthetist, Certified Registered
212 S SULLIVAN AVE
FREMONT, MI 49412
Nurse Anesthetist, Certified Registered
212 S SULLIVAN AVE
FREMONT, MI 49412
Psychologist (Cognitive & Behavioral)
212 S SULLIVAN AVE
FREMONT, MI 49412
Dietitian, Registered
212 S SULLIVAN AVE
FREMONT, MI 49412
Dietitian, Registered
212 S SULLIVAN AVE
FREMONT, MI 49412
Emergency Medicine
212 S SULLIVAN AVE
FREMONT, MI 49412

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 Ali Shah's NPI number?

The NPI number for Ali Shah is 1790306058. It was assigned to this individual provider in the NPPES registry on April 28, 2020.

Where is Ali Shah located?

Ali Shah practices at 212 S Sullivan Ave, Fremont, MI 49412. The listed phone number is (616) 391-3139.

What is Ali Shah's specialty?

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

Is Ali Shah enrolled in Medicare?

Yes. Ali 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 Ali Shah accept?

Health plans from Priority Health list Ali 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 Ali Shah affiliated with any hospitals?

According to CMS data, Ali Shah is affiliated with Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Ali Shah was last updated on July 31, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.