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SANJEEV SHAH MD
NPI 1801012539
Internal Medicine - Cardiovascular Disease in Concord, NC

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
100 MEDICAL PARK DR, STE 210, CONCORD, NC 28025(704) 403-6100 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2022, Jan 20, 2021, Jan 6, 2021 and 40 more (43 updates tracked since 2018).

About Sanjeev Shah Md NPPES

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

SANJEEV SHAH MD (NPI 1801012539) is an individual cardiovascular disease provider in Concord, North Carolina, licensed in North Carolina (2005-00702) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801012539
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameSANJEEV SHAHCredential: MD
Location Address100 MEDICAL PARK DR, STE 210Concord, NC 28025-2948
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Phone(704) 403-6100
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 2002
Enumeration DateApril 18, 2007
Last NPPES UpdateApril 14, 202243 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1801012539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NC · 2005-00702
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
100 MEDICAL PARK DR, Concord, NC 28025
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1447 McAlister Rd, STE 3200Lincolnton, NC 28092-4114 · Phone (980) 212-6300
Location 2307 Yadkin StAlbemarle, NC 28001-3441 · Phone (980) 323-6180

Accepted Insurance

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

Sanjeev 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 ID3678631850
PECOS Enrollment IDI20081016000064, I20260429000893
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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,122 services803 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
383 services361 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.
119 services105 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
60 services60 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
3d radiographic procedure 76376
A 3D radiographic procedure is a non-invasive imaging test that helps doctors visualize the internal structures of your body in three dimensions. This advanced technology provides detailed images, aiding in accurate diagnosis and treatment planning. It involves exposure to minimal radiation.
17 services17 patients

Hospital Affiliations CMS Care Compare 5

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

Carolinas Medical Center-Northeast

Acute Care Hospitals · Concord, NC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340001
Location920 Church St NConcord, NC 28025 · Cabarrus County
Emergency services Birthing friendly

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Stanly Regional Medical Center

Acute Care Hospitals · Albemarle, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340119
Location301 Yadkin StAlbemarle, NC 28001 · Stanly County
Emergency services Birthing friendly

Atrium Health Union

Acute Care Hospitals · Monroe, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340130
Location600 Hospital DrMonroe, NC 28112 · Union County
Emergency services Birthing friendly

Atrium Health Lincoln

Acute Care Hospitals · Lincolnton, NC
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340145
Location433 Mcalister RdLincolnton, NC 28092 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28025 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
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
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.

CHELSEA ELAINE MELOCHE MD
Internal Medicine (Cardiovascular Disease)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Cabarrus County (704) 403-6100
CMC-NORTHEAST, INC.
Internal Medicine (Hematology & Oncology)
100 MEDICAL PARK DR, STE 110, NORTHEAST ONCOLOGY ASSOCIATES
CONCORD, NC 28025
Cabarrus County (704) 403-1370
MEGHAN REBECCA STEINER MD
Internal Medicine
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Cabarrus County (704) 403-1370
STEPHEN SEAN ZOUZOULAS MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Cabarrus County (704) 403-6100
KAITLIN KAROL EIBELER NP
Nurse Practitioner
100 MEDICAL PARK DR, STE 110
CONCORD, NC 28025
Cabarrus County (704) 403-1370
AMANDA LYNN COOK MD
Pediatrics (Pediatric Cardiology)
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Cabarrus County (704) 403-2860
LAUREN PAIGE CARTWRIGHT PA
Physician Assistant
100 MEDICAL PARK DR, STE 210
CONCORD, NC 28025
Cabarrus County (704) 403-6100
ANDREW ZACHARY HELING MD
Pediatrics
100 MEDICAL PARK DR, STE 310
CONCORD, NC 28025
Cabarrus County (704) 403-2660

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 Sanjeev Shah's NPI number?

The NPI number for Sanjeev Shah is 1801012539. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Sanjeev Shah located?

Sanjeev Shah practices at 100 Medical Park Dr Ste 210, Concord, NC 28025. The listed phone number is (704) 403-6100.

What is Sanjeev Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sanjeev Shah enrolled in Medicare?

Yes. Sanjeev 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 Sanjeev Shah accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc and 1 other insurer list Sanjeev 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 Sanjeev Shah affiliated with any hospitals?

According to CMS data, Sanjeev Shah is affiliated with Carolinas Medical Center-Northeast, Carolinas Medical Center/Behav Health, Stanly Regional Medical Center, Atrium Health Union and Atrium Health Lincoln.

When was this NPI record last updated?

The NPPES record for Sanjeev Shah was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.