DHARMESH K SHAH MD
NPI 1942264775
Family Medicine in Chesapeake, VA

Active since April 17, 2006PECOS EnrolledAccepts Medicare Assignment
83.76/100
CMS Quality Rating
710 LIBERTY ST, CHESAPEAKE, VA 23324(757) 543-6861(757) 543-4082 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dharmesh K Shah Md NPPES

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

DHARMESH K SHAH MD (NPI 1942264775) is an individual family medicine provider in Chesapeake, Virginia, licensed in Virginia (0101237991) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Sentara Norfolk General Hospital, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1942264775
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDHARMESH K SHAHCredential: MD
Location Address710 LIBERTY STChesapeake, VA 23324-2637
Mailing Address667 Kingsborough Sq Ste 101Chesapeake, VA 23320-4999 · (757) 842-4481 · Fax (757) 524-4396
Fax(757) 543-4082
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateApril 17, 2006
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
NPI 1942264775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101237991
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
710 LIBERTY ST, Chesapeake, VA 23324

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

Dharmesh K Shah Md 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 ID143259580
PECOS Enrollment IDI20050805000822
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.

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.
248 services130 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.
100 services100 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.
18 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Sentara Virginia Beach General Hospital

Acute Care Hospitals · Virginia Beach, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490057
Location1060 First Colonial RoadVirginia Beach, VA 23454 · Virginia Beach City County
Emergency services

Chesapeake General Hospital

Acute Care Hospitals · Chesapeake, VA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490120
Location736 Battlefield Blvd, NorthChesapeake, VA 23320 · Chesapeake City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23324 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
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
Quality68.35
Promoting Interoperability100
Improvement Activities40
Cost77.53

Reported Quality Measures

e-Prescribing
99%1,114 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
74%327 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 6

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
12 suppliers46 claims132 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers20 claims35 services$1.07 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims18 services$13.19 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
2 suppliers18 claims18 services$60.67 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier16 claims16 services$11.05 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers24 claims25 services$181.99 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 4

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

Internal Medicine
710 LIBERTY ST
CHESAPEAKE, VA 23324
Obstetrics & Gynecology
710 LIBERTY ST
CHESAPEAKE, VA 23324
Nurse Practitioner
710 LIBERTY ST
CHESAPEAKE, VA 23324
Internal Medicine
710 LIBERTY ST
CHESAPEAKE, VA 23324

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 Dharmesh Shah's NPI number?

The NPI number for Dharmesh Shah is 1942264775. It was assigned to this individual provider in the NPPES registry on April 17, 2006.

Where is Dharmesh Shah located?

Dharmesh Shah practices at 710 Liberty St, Chesapeake, VA 23324. The listed phone number is (757) 543-6861.

What is Dharmesh Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dharmesh Shah enrolled in Medicare?

Yes. Dharmesh 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.

Is Dharmesh Shah affiliated with any hospitals?

According to CMS data, Dharmesh Shah is affiliated with Sentara Norfolk General Hospital, Sentara Leigh Hospital, Sentara Virginia Beach General Hospital and Chesapeake General Hospital.

When was this NPI record last updated?

The NPPES record for Dharmesh Shah was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.