VINODKUMAR SHAH MD
NPI 1841209400
Internal Medicine in Franklin, WI

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
10101 S 27TH ST, FRANKLIN, WI 53132(414) 325-4930(414) 325-4931 Get Directions Write a Review

NPPES record last updated: July 9, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Vinodkumar Shah Md NPPES

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

VINODKUMAR SHAH MD (NPI 1841209400) is an individual internal medicine provider in Franklin, Wisconsin, licensed in Wisconsin (27319) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension Se Wisconsin Hospital, and is a graduate of Other (1975).

NPPES Registry Identity

NPI1841209400
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameVINODKUMAR SHAHCredential: MD
Location Address10101 S 27TH STFranklin, WI 53132-7209
Mailing Address10101 S 27th StFranklin, WI 53132-7209 · (414) 325-4930
Fax(414) 325-4931
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 9, 2013
NPI 1841209400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 27319
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.

10101 S 27TH ST, Franklin, WI 53132

Other Identifiers 3

Medicare UPINB56528
Medicaid30686600WI
Medicare PIN000001983WI

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

Vinodkumar 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 ID5890773808
PECOS Enrollment IDI20040707001322
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 9

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.

Established patient office or other outpatient visit, 30-39 minutes 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.
242 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
24 services22 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
23 services18 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
22 services20 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.
21 services20 patients

Hospital Affiliations CMS Care Compare

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

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53132 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers19 claims51 services$4.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims14 services$0.89 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$17.64 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
2 suppliers23 claims23 services$76.34 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$32.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$198.85 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.

Anesthesiology
10101 S 27TH ST
FRANKLIN, WI 53132
Anesthesiology
10101 S 27TH ST
FRANKLIN, WI 53132
Anesthesiology
10101 S 27TH ST
FRANKLIN, WI 53132
Obstetrics & Gynecology
10101 S 27TH ST
FRANKLIN, WI 53132
Family Medicine
10101 S 27TH ST
FRANKLIN, WI 53132
Family Medicine
10101 S 27TH ST
FRANKLIN, WI 53132
Family Medicine
10101 S 27TH ST
FRANKLIN, WI 53132
Dietitian, Registered
10101 S 27TH ST
FRANKLIN, WI 53132

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 Vinodkumar Shah's NPI number?

The NPI number for Vinodkumar Shah is 1841209400. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Vinodkumar Shah located?

Vinodkumar Shah practices at 10101 S 27th St, Franklin, WI 53132. The listed phone number is (414) 325-4930.

What is Vinodkumar Shah's specialty?

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

Is Vinodkumar Shah enrolled in Medicare?

Yes. Vinodkumar 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 Vinodkumar Shah accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Vinodkumar 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 Vinodkumar Shah affiliated with any hospitals?

According to CMS data, Vinodkumar Shah is affiliated with Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Vinodkumar Shah was last updated on July 9, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.