DR. JAY PRAVIN SHAH M.D.
NPI 1871728907
Orthopaedic Surgery - Sports Medicine in Irving, TX

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
74.59/100
CMS Quality Rating
4301 N MACARTHUR BLVD, IRVING, TX 75038(844) 864-8942(469) 935-6195 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Jun 24, 2025, Jun 14, 2024 and 3 more (6 updates tracked since 2015).

About Dr. Jay Pravin Shah M.d. NPPES

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

DR. JAY PRAVIN SHAH M.D. (NPI 1871728907) is an individual sports medicine provider in Irving, Texas, licensed in Texas (P8731) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1871728907
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameDR. JAY PRAVIN SHAHCredential: M.D.
Location Address4301 N MACARTHUR BLVDIrving, TX 75038-6497
Mailing Address4301 N Macarthur BlvdIrving, TX 75038-6497 · (844) 864-8942 · Fax (469) 935-6195
Fax(469) 935-6195
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateMay 19, 2009
Last NPPES UpdateDecember 9, 20256 updates tracked since enumeration
NPPES CertifiedDecember 9, 2025
NPI 1871728907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses Licensed in TX · P8731 Licensed in IL · 036131055
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
4301 N MACARTHUR BLVD, Irving, TX 75038

Other Identifiers 3

Medicaid348517901TX
Medicaid348517902TX
Medicaid348517903TX

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. Jay Pravin Shah M.d. 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 ID8022254754
PECOS Enrollment IDI20150825005416
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.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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 (Radiology)
4301 N MACARTHUR BLVD, #203
IRVING, TX 75038
Specialist
4301 N MACARTHUR BLVD, SUITE 201
IRVING, TX 75038
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4301 N MACARTHUR BLVD, SUITE 101
IRVING, TX 75038
Anesthesiology
4301 N MACARTHUR BLVD, SUITE 101 (972) 255-5588
IRVING, TX 75038
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
4301 N MACARTHUR BLVD
IRVING, TX 75038
Orthopaedic Surgery
4301 N MACARTHUR BLVD, SUITE 203
IRVING, TX 75038
Clinic/Center (Emergency Care)
4301 N MACARTHUR BLVD
IRVING, TX 75038
Physical Therapist
4301 N MACARTHUR BLVD, SUITE 204
IRVING, TX 75038

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 Jay Shah's NPI number?

The NPI number for Jay Shah is 1871728907. It was assigned to this individual provider in the NPPES registry on May 19, 2009.

Where is Jay Shah located?

Jay Shah practices at 4301 N Macarthur Blvd, Irving, TX 75038. The listed phone number is (844) 864-8942.

What is Jay Shah's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jay Shah enrolled in Medicare?

Yes. Jay 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 Jay Shah accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Jay 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.

When was this NPI record last updated?

The NPPES record for Jay Shah was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.