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DR. SAMIR RAMESHCHANDRA SHAH M.D.
NPI 1881893741
Colon & Rectal Surgery in Miami Lakes, FL

Active since July 12, 2007PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
5803 NW 151ST ST STE 105, MIAMI LAKES, FL 33014(305) 596-3080(305) 596-3073 Get Directions Write a Review

NPPES record last updated: February 1, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 1, 2023, Aug 7, 2020, Sep 25, 2019 and 3 more (6 updates tracked since 2017).

About Dr. Samir Rameshchandra Shah M.d. NPPES

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

DR. SAMIR RAMESHCHANDRA SHAH M.D. (NPI 1881893741) is an individual colon & rectal surgery provider in Miami Lakes, Florida, licensed in Florida (ME140999) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and maintains a secondary practice location in West Columbia.

NPPES Registry Identity

NPI1881893741
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. SAMIR RAMESHCHANDRA SHAHCredential: M.D.
Location Address5803 NW 151ST ST STE 105Miami Lakes, FL 33014-2473
Mailing Address9500 S Dadeland Blvd Ste 200Miami, FL 33156-2866 · (305) 468-4185 · Fax (305) 596-3073
Phone(305) 596-3080
Fax(305) 596-3073
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJuly 12, 2007
Last NPPES UpdateFebruary 1, 20236 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2023
✔ NPI 1881893741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
Licenses✔ Licensed in FL · ME140999✔ Licensed in SC · 38018
Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

Also ListedSurgeryTaxonomy 208600000X · License 38018 (SC)
Also ListedGeneral PracticeTaxonomy 208D00000X · License ME140999 (FL)
5803 NW 151ST ST STE 105, Miami Lakes, FL 33014
Open in Google Maps ↗

Secondary Practice Location 1

Location 12728 Sunset Blvd, Suite 104West Columbia, SC 29169 · Phone (803) 791-2722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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. Samir Rameshchandra 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 ID6507080736
PECOS Enrollment IDI20190925002827
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.
94 services47 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.
33 services28 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.
21 services20 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
20 services18 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.
13 services11 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

Hca Florida Mercy Hospital

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100167
Location3663 S Miami AveMiami, FL 33133 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33014 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$75.86 typical visit price
range $18.99 – $150.24
Typical copayment $18.96 (range $4.74 – $37.56)
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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Promoting Interoperability100
Improvement Activities40
Cost67.14

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 Samir Shah's NPI number?

The NPI number for Samir Shah is 1881893741. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Where is Samir Shah located?

Samir Shah practices at 5803 NW 151st St Ste 105, Miami Lakes, FL 33014. The listed phone number is (305) 596-3080.

What is Samir Shah's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Samir Shah enrolled in Medicare?

Yes. Samir 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 Samir Shah accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Molina Healthcare and 3 other insurers list Samir 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 Samir Shah affiliated with any hospitals?

According to CMS data, Samir Shah is affiliated with Baptist Hospital Of Miami, South Miami Hospital, Hca Florida Mercy Hospital and West Kendall Baptist Hospital.

When was this NPI record last updated?

The NPPES record for Samir Shah was last updated on February 1, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.