DR. PHALGOON A. SHAH MD
NPI 1821409319
Internal Medicine - Pulmonary Disease in Edgewood, KY

Q: What is Phalgoon Shah's NPI number?

The NPI number for Phalgoon Shah is 1821409319. It was assigned to this individual provider in the NPPES registry on May 19, 2014.

Q: What is Phalgoon Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Phalgoon Shah was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 19, 2014PECOS EnrolledAccepts Medicare Assignment

1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017(859) 757-2927(859) 341-0203 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2021, Jul 17, 2020, Jun 23, 2020 and 3 more (6 updates tracked since 2018).

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About Dr. Phalgoon A. Shah Md NPPES

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

DR. PHALGOON A. SHAH MD (NPI 1821409319) is an individual pulmonary disease provider in Edgewood, Kentucky, licensed in Kentucky (53445) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821409319

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. PHALGOON A. SHAHCredential: MD

Location Address1 MEDICAL VILLAGE DREdgewood, KY 41017-3403

Mailing Address1 Medical Village DrEdgewood, KY 41017-3403 · (859) 757-2927 · Fax (859) 341-0203

Phone(859) 757-2927

Fax(859) 341-0203

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateMay 19, 2014

Last NPPES UpdateSeptember 20, 20236 updates tracked since enumeration

NPPES CertifiedSeptember 20, 2023

✔ NPI 1821409319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in KY · 53445✔ Licensed in CO · DR.0065750

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 53445 (KY)

1 MEDICAL VILLAGE DR, Edgewood, KY 41017

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Secondary Practice Locations 2

Location 1201 Park StBowling Green, KY 42101-1708 · Phone (270) 781-5111 · Fax (270) 780-0473

Location 2280 Exempla CirLafayette, CO 80026-3370 · Phone (303) 338-4545

Other Identifiers 2

Other029220CO · Kaiser Commercial Number

Medicaid7100660020KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CareSource, Molina Healthcare 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

Dr. Phalgoon A. 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 ID6507137312

PECOS Enrollment IDI20241202000180, I20250113002601

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 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.

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.

345 services169 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

321 services135 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.

138 services105 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.

123 services82 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.

99 services93 patients

Test to determine lung volumes using sensors 94726

This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.

67 services67 patients

Test to examine how well the lungs exchange gases 94729

This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.

64 services64 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.

54 services54 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

51 services51 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.

20 services18 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

18 services18 patients

Critical care, each additional 30 minutes 99292

Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.

18 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Medical Center

Acute Care Hospitals · Las Cruces, NM

1/5 CMS rating

OwnershipProprietary

CMS Certification Number320018

Location2450 South Telshor BlvdLas Cruces, NM 88011 · Dona Ana County

Emergency services Birthing friendly

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450002

Location2001 N Oregon StEl Paso, TX 79902 · El Paso County

Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450668

Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County

Emergency services

The Hospitals Of Providence - East Campus

Acute Care Hospitals · El Paso, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number670047

Location3280 Joe Battle BlvdEl Paso, TX 79938 · El Paso County

Emergency services Birthing friendly

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number670120

Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$122.77 typical visit price

range $52.76 – $162.27

Typical copayment $30.69 (range $13.19 – $40.56)

Most-billed visit code 99204

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

5 suppliers49 claims51 services$16.64 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers13 claims13 services$17.48 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

7 suppliers86 claims88 services$82.48 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

CARA LINDSAY HANSEN CRNA

Nurse Anesthetist, Certified Registered