Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MILAN BALKRISHNA SHAH M.D.
NPI 1871836437
Urology in San Antonio, TX

Active since April 02, 2013PECOS Enrolled
903 W MARTIN ST # MS 49-2, SAN ANTONIO, TX 78207(210) 358-3699(210) 702-6986 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, May 28, 2025, Feb 25, 2025 and 3 more (6 updates tracked since 2018).

About Milan Balkrishna Shah M.d. NPPES

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

MILAN BALKRISHNA SHAH M.D. (NPI 1871836437) is an individual urology provider in San Antonio, Texas, licensed in Texas (V6395) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with University Health System, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1871836437
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameMILAN BALKRISHNA SHAHCredential: M.D.
Location Address903 W MARTIN ST # MS 49-2San Antonio, TX 78207-0903
Mailing Address903 W Martin StSan Antonio, TX 78207-0903 · (210) 358-3699 · Fax (210) 702-6986
Fax(210) 702-6986
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 2, 2013
Last NPPES UpdateJuly 24, 20266 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1871836437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in TX · V6395 Licensed in CA · A153063
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
903 W MARTIN ST # MS 49-2, San Antonio, TX 78207

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

Milan Balkrishna 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 ID8123373628
PECOS Enrollment IDI20250227002080
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 10

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 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.
116 services82 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.
112 services71 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
28 services27 patients
Complete ultrasound scan behind abdominal cavity 76770
A complete ultrasound scan behind the abdominal cavity is a non-invasive imaging procedure. It uses sound waves to create pictures of the structures and organs located at the back of your abdomen. It helps in diagnosing health conditions and monitoring ongoing treatments.
25 services18 patients
Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728
This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.
24 services24 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

University Health System

Acute Care Hospitals · San Antonio, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450213
Location4502 Medical DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78207 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%77 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Nurse Practitioner (Pediatrics)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Nurse Practitioner (Family)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Pediatrics
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Family Medicine
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Family Medicine
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Nurse Practitioner (Family)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Internal Medicine (Gastroenterology)
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207
Family Medicine
903 W MARTIN ST # MS 49-2
SAN ANTONIO, TX 78207

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 Milan Shah's NPI number?

The NPI number for Milan Shah is 1871836437. It was assigned to this individual provider in the NPPES registry on April 2, 2013.

Where is Milan Shah located?

Milan Shah practices at 903 W Martin St # Ms 49-2, San Antonio, TX 78207. The listed phone number is (210) 358-3699.

What is Milan Shah's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Milan Shah enrolled in Medicare?

Yes. Milan 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 Milan Shah accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Milan 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 Milan Shah affiliated with any hospitals?

According to CMS data, Milan Shah is affiliated with University Health System.

When was this NPI record last updated?

The NPPES record for Milan Shah was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.