DR. NILAY SHAH DO
NPI 1861054926
Family Medicine in Indianapolis, IN

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
1520 N SENATE AVE, INDIANAPOLIS, IN 46202(317) 963-4634 Get Directions Write a Review

NPPES record last updated: September 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nilay Shah Do NPPES

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

DR. NILAY SHAH DO (NPI 1861054926) is an individual family medicine provider in Indianapolis, Indiana, licensed in Indiana (01088544A) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health, and maintains a secondary practice location in Muncie.

NPPES Registry Identity

NPI1861054926
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NILAY SHAHCredential: DO
Location Address1520 N SENATE AVEIndianapolis, IN 46202-2213
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateSeptember 7, 2022
NPPES CertifiedAugust 11, 2022
NPI 1861054926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01088544A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1520 N SENATE AVE, Indianapolis, IN 46202

Secondary Practice Location 1

Location 12401 W University AveMuncie, IN 47303-3428 · Phone (765) 741-1515

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. Nilay Shah Do 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 ID8426383555
PECOS Enrollment IDI20220913002023
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.

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.
366 services166 patients
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.
220 services122 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.
132 services129 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.
56 services56 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.
21 services16 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana University Health

Acute Care Hospitals · Indianapolis, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150056
Location1701 N Senate BlvdIndianapolis, IN 46202 · Marion County
Emergency services Birthing friendly

Indiana University Health Ball Memorial Hospital

Acute Care Hospitals · Muncie, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150089
Location2401 University AveMuncie, IN 47303 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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.

Clinic/Center (Health Service)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Family Medicine
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1520 N SENATE AVE
INDIANAPOLIS, IN 46202
Student in an Organized Health Care Education/Training Program
1520 N SENATE AVE
INDIANAPOLIS, IN 46202

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 Nilay Shah's NPI number?

The NPI number for Nilay Shah is 1861054926. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Nilay Shah located?

Nilay Shah practices at 1520 N Senate Ave, Indianapolis, IN 46202. The listed phone number is (317) 963-4634.

What is Nilay Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nilay Shah enrolled in Medicare?

Yes. Nilay 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 Nilay Shah accept?

Health plans from CareSource list Nilay 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 Nilay Shah affiliated with any hospitals?

According to CMS data, Nilay Shah is affiliated with Indiana University Health and Indiana University Health Ball Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nilay Shah was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.