RUTUL SHAH M.D
NPI 1881899557
Internal Medicine - Sleep Medicine in Norfolk, VA

Q: What is Rutul Shah's NPI number?

The NPI number for Rutul Shah is 1881899557. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Q: What is Rutul Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Q: When was this NPI record last updated?

The NPPES record for Rutul Shah was last updated on September 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment

83.76/100

CMS Quality Rating

150 KINGSLEY LN, NORFOLK, VA 23505(757) 484-5900(757) 483-6671 Get Directions Write a Review

NPPES record last updated: September 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 17, 2024, Mar 18, 2020 (2 updates tracked since 2020).

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About Rutul Shah M.d NPPES

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

RUTUL SHAH M.D (NPI 1881899557) is an individual sleep medicine provider in Norfolk, Virginia, licensed in Virginia (0101253419) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Bon Secours Maryview Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1881899557

Entity TypeIndividualMale

Primary Taxonomy207RS0012X

Provider Legal NameRUTUL SHAHCredential: M.D

Location Address150 KINGSLEY LNNorfolk, VA 23505-4602

Mailing Address8580 Magellan PkwyRichmond, VA 23227-1149 · Fax (866) 449-0896

Phone(757) 484-5900

Fax(757) 483-6671

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 20, 2007

Last NPPES UpdateSeptember 17, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2024

✔ NPI 1881899557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RS0012X

License✔ Licensed in VA · 0101253419

Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.

Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 32541 (SC)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

150 KINGSLEY LN, Norfolk, VA 23505

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Other Identifiers 4

OtherPO1162145SC · Railroad Medicare

Medicaid325419SC

OtherGP4306SC · Medicaid Group

OtherGP3912SC · Medicaid Group

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

Rutul 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 ID6103014501

PECOS Enrollment IDI20130926000051

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 4

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.

307 services121 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.

69 services68 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.

51 services38 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.

32 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Bon Secours Maryview Medical Center

Acute Care Hospitals · Portsmouth, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490017

Location3636 High StreetPortsmouth, VA 23707 · Portsmouth City County

Emergency services

Bon Secours Southside Medical Center

Acute Care Hospitals · Petersburg, VA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number490067

Location200 Medical Park BoulevardPetersburg, VA 23805 · Petersburg City County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23505 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

83.76/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.35

Promoting Interoperability

100

Improvement Activities

Cost

77.53

Reported Quality Measures

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

96%28 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

6 suppliers13 claims13 services$30.82 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers16 claims16 services$59.65 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims44 services$25.40 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

3 suppliers13 claims70 services$14.39 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers17 claims17 services$16.06 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers14 claims14 services$8.98 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.

DEBORAH K MIDGETT

Nurse Anesthetist, Certified Registered