AVANI KETAN SHAH M.D.
NPI 1902873128
Internal Medicine in Palmetto, FL

Q: What is Avani Shah's NPI number?

The NPI number for Avani Shah is 1902873128. It was assigned to this individual provider in the NPPES registry on March 7, 2006.

Q: What is Avani Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Avani Shah was last updated on March 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 07, 2006PECOS EnrolledAccepts Medicare Assignment

92.61/100

CMS Quality Rating

5600 BAYSHORE RD, PALMETTO, FL 34221(941) 721-2020(941) 721-2027 Get Directions Write a Review

NPPES record last updated: March 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Avani Ketan Shah M.d. NPPES

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

AVANI KETAN SHAH M.D. (NPI 1902873128) is an individual internal medicine provider in Palmetto, Florida, licensed in Florida (ME0074998) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1902873128

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameAVANI KETAN SHAHCredential: M.D.

Location Address5600 BAYSHORE RDPalmetto, FL 34221-9352

Mailing Address700 8th Ave W, Ste 101Palmetto, FL 34221-4737 · (941) 708-4008 · Fax (941) 845-4963

Phone(941) 721-2020

Fax(941) 721-2027

Sole ProprietorNo

Medical School CMSOtherGraduated 1990

Enumeration DateMarch 7, 2006

Last NPPES UpdateMarch 24, 2017

✔ NPI 1902873128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME0074998

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

5600 BAYSHORE RD, Palmetto, FL 34221

Open in Google Maps ↗

Other Identifiers 3

Medicare UPING20884

Medicare ID-Type Unspecified43403ZFL

Medicaid258237600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare 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

Avani Ketan 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 ID7911032479

PECOS Enrollment IDI20100323000302

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 3

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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

171 services136 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

14 services12 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

13 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34221 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

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

92.61/100

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

Scored as part of a group practice

Quality

95.01

Promoting Interoperability

100

Improvement Activities

Cost

66.14

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%69 patients

Breast Cancer Screening

59%1,466 patients3/55-star benchmark: 93%

Cervical Cancer Screening

65%2,701 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

47%840 patients3/55-star benchmark: 87%

Colorectal Cancer Screening

41%3,315 patients2/55-star benchmark: 88%

Controlling High Blood Pressure

60%2,473 patients3/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

85%40 patients4/55-star benchmark: 99%

Dementia: Cognitive Assessment

9%33 patients

Diabetes: Eye Exam

46%1,288 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

28%1,288 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%10,061 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

84%1,104 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

97%6,113 patients4/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

84%5,006 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

39%5,514 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 97% · 5,369 patients

Patients screened: 98% · 5,369 patients

90%783 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

76%2,041 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 1,172 patients

Patients totalRate: 15% · 1,224 patients

14%1,224 patients3/55-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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

10 suppliers34 claims93 services$5.95 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers13 claims13 services$2.03 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers18 claims35 services$0.98 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier14 claims14 services$65.89 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. CONNIE LAPADAT

Nurse Practitioner (Family)