GARGI SHAH M.D.
NPI 1932464765
Internal Medicine in Oklahoma City, OK

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
77.69/100
CMS Quality Rating
5720 W MEMORIAL RD, OKLAHOMA CITY, OK 73142(405) 470-7100(405) 470-7111 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 28, 2019, Mar 21, 2018, Jul 14, 2017 and 2 more (5 updates tracked since 2015).

About Gargi Shah M.d. NPPES

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

GARGI SHAH M.D. (NPI 1932464765) is an individual internal medicine provider in Oklahoma City, Oklahoma, licensed in Oklahoma (31619) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1932464765
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameGARGI SHAHCredential: M.D.
Location Address5720 W MEMORIAL RDOklahoma City, OK 73142-2010
Mailing Address5300 N Independence Ave, Suite 280Oklahoma City, OK 73112-5556 · (405) 470-7100 · Fax (405) 470-7111
Fax(405) 470-7111
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 9, 2012
Last NPPES UpdateOctober 28, 20195 updates tracked since enumeration
NPI 1932464765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in OK · 31619 Licensed in IL · 125.060878
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.
5720 W MEMORIAL RD, Oklahoma City, OK 73142

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

Gargi 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 ID2769623248
PECOS Enrollment IDI20151116001963
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 13

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 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.
459 services212 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
258 services176 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
183 services183 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.
142 services95 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
77 services15 patients
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420
This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
67 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

O U Medical Center

Acute Care Hospitals · Oklahoma City, OK
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370093
Location700 NE 13th StreetOklahoma City, OK 73104 · Oklahoma County
Emergency services Birthing friendly

Lakeside Women's Hospital, A Member Of Integris He

Acute Care Hospitals · Oklahoma City, OK
OwnershipVoluntary non-profit - Private
CMS Certification Number370199
Location11200 North Portland AvenueOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73142 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

77.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.52
Promoting Interoperability100
Improvement Activities40
Cost43.13

Referred Medical Equipment & Supplies CMS DME claims 12

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 suppliers30 claims60 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims12 services$0.98 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$32.45 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers14 claims77 services$16.90 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers19 claims19 services$51.82 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers11 claims11 services$17.90 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 5

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

Family Medicine
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142
Family Medicine
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142
Family Medicine
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142
Obstetrics & Gynecology
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142
Family Medicine
5720 W MEMORIAL RD
OKLAHOMA CITY, OK 73142

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 Gargi Shah's NPI number?

The NPI number for Gargi Shah is 1932464765. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Gargi Shah located?

Gargi Shah practices at 5720 W Memorial Rd, Oklahoma City, OK 73142. The listed phone number is (405) 470-7100.

What is Gargi Shah's specialty?

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

Is Gargi Shah enrolled in Medicare?

Yes. Gargi 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 Gargi Shah accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Gargi 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 Gargi Shah affiliated with any hospitals?

According to CMS data, Gargi Shah is affiliated with Mercy Hospital Oklahoma City, Inc, Integris Baptist Medical Center, Inc, O U Medical Center, Lakeside Women's Hospital, A Member Of Integris He and Integris Canadian Valley Hospital.

When was this NPI record last updated?

The NPPES record for Gargi Shah was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.