1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Specialist
  6. NPI Profile

NIRAV SHAH
NPI 1790750602
Specialist in Pittsburgh, PA

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3459 5TH AVE, 9 SOUTH MUH, PITTSBURGH, PA 15213(412) 647-2561 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nirav Shah NPPES

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

NIRAV SHAH (NPI 1790750602) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD072459L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and is a graduate of State University Of New York Downstate Medical Center (1998).

NPPES Registry Identity

NPI1790750602
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameNIRAV SHAH
Location Address3459 5TH AVE, 9 SOUTH MUHPittsburgh, PA 15213-3236
Mailing Address3459 5th Ave, 9 South MuhPittsburgh, PA 15213-3236
Phone(412) 647-2561
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1998
Enumeration DateFebruary 22, 2006
Last NPPES UpdateApril 6, 2021
✔ NPI 1790750602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD072459L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3459 5TH AVE, Pittsburgh, PA 15213
Open in Google Maps ↗

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

Nirav Shah 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 ID2062497324
PECOS Enrollment IDI20040621001485
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.

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.
165 services55 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.
66 services62 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.
52 services38 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.
29 services28 patients

Hospital Affiliations CMS Care Compare 5

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 4

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers24 claims1,470 services$0.35 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers14 claims1,824 services$0.20 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
7 suppliers17 claims17 services$15.63 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers27 claims27 services$12.70 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.

MRS. LORI SMITH MACEDONIA
Physician Assistant (Medical)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213
Allegheny County (412) 692-2700
DR. ANGELA CORINNE WILLIAMS MD
Physical Medicine & Rehabilitation
3459 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345
MRS. SUSAN AUDREY STARK MS, RD, LD
Dietitian, Registered
3459 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 647-2906
DANIEL SULLIVAN
Internal Medicine
3459 5TH AVE, UPMC MONTEFIORE NW628
PITTSBURGH, PA 15213
Allegheny County (412) 692-2213
MRS. MARGARET ANN STOEFF CRNP
Nurse Practitioner (Family)
3459 5TH AVE, NW 628
PITTSBURGH, PA 15213
Allegheny County (412) 692-2210
CHELSEA STEWART
Physician Assistant
3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213
Allegheny County (412) 647-5800
ALLISON GAYLE AGNONE DNP
Clinical Nurse Specialist (Acute Care)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213
Allegheny County (412) 692-2717
DR. AMIT BASU MD
Specialist
3459 5TH AVE, N725
PITTSBURGH, PA 15213
Allegheny County (412) 647-5730

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 Nirav Shah's NPI number?

The NPI number for Nirav Shah is 1790750602. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Nirav Shah located?

Nirav Shah practices at 3459 5th Ave 9 South Muh, Pittsburgh, PA 15213. The listed phone number is (412) 647-2561.

What is Nirav Shah's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Nirav Shah enrolled in Medicare?

Yes. Nirav 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.

Is Nirav Shah affiliated with any hospitals?

According to CMS data, Nirav Shah is affiliated with Washington Hospital, The, Upmc Altoona, Upmc Passavant, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Nirav Shah was last updated on April 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.