NISHI MADHUSUDAN SHAH M.D.
NPI 1962881698
Ophthalmology in Phoenix, AZ

Q: What is Nishi Shah's NPI number?

The NPI number for Nishi Shah is 1962881698. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Nishi Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Nishi Shah was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 27, 2015PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

3815 E BELL RD STE 2500, PHOENIX, AZ 85032(602) 258-4321(602) 253-5917 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Jun 23, 2020 (2 updates tracked since 2020).

On this page

About Nishi Madhusudan Shah M.d. NPPES

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

NISHI MADHUSUDAN SHAH M.D. (NPI 1962881698) is an individual ophthalmology provider in Phoenix, Arizona, licensed in Florida (ME140126) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2015).

NPPES Registry Identity

NPI1962881698

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameNISHI MADHUSUDAN SHAHCredential: M.D.

Location Address3815 E BELL RD STE 2500Phoenix, AZ 85032-2151

Mailing Address21803 N Scottsdale, Suite 290Scottsdale, AZ 85255 · (602) 258-4321 · Fax (602) 253-5917

Phone(602) 258-4321

Fax(602) 253-5917

Sole ProprietorNo

Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2015

Enumeration DateMay 27, 2015

Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration

NPPES CertifiedNovember 17, 2025

✔ NPI 1962881698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME140126

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Cornea and External Diseases SpecialistTaxonomy 207WX0120X · License 60122 (AZ)

3815 E BELL RD STE 2500, Phoenix, AZ 85032

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. 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

Nishi Madhusudan 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 ID6002102720

PECOS Enrollment IDI20200609002452

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 15

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.

824 services374 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.

221 services221 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.

169 services144 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

126 services114 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

96 services70 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

92 services57 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

71 services71 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

62 services43 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

44 services33 patients

Placement of amniotic membrane on eye surface for wound healing 65778

The placement of an amniotic membrane on the eye surface is a treatment to promote healing of eye wounds. It involves placing a thin, protective layer over the eye. This layer, derived from the amniotic membrane, helps reduce inflammation and scarring, while encouraging healing.

39 services27 patients

Ultrasound scan of cornea to determine thickness 76514

An ultrasound scan of the cornea is a non-invasive procedure that uses sound waves to measure the thickness of your cornea. This helps in diagnosing certain eye conditions and planning treatments. No discomfort or pain is typically experienced.

39 services33 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

33 services28 patients

Removal of eye fluid 65800

Removal of eye fluid, also known as vitrectomy, is a surgical procedure used to treat eye problems by removing the vitreous, a gel-like substance filling the eye. This allows easier access to the back of the eye for treatment. It helps improve or stabilize vision.

15 services14 patients

Ultrasound scan to determine eye length and lens power 76519

An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.

15 services11 patients

Removal of outer layer of cornea 65435

The removal of the outer layer of the cornea is a procedure aimed at improving vision. It involves gently removing the surface layer of the eye's cornea to allow for reshaping, which can correct vision problems. It's typically done under local anesthesia.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85032 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

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.

75/100

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

Scored as part of a group practice

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 Nishi Shah's NPI number?

The NPI number for Nishi Shah is 1962881698. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Nishi Shah located?

Nishi Shah practices at 3815 E Bell Rd Ste 2500, Phoenix, AZ 85032. The listed phone number is (602) 258-4321.

What is Nishi Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Nishi Shah enrolled in Medicare?

Yes. Nishi 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 Nishi Shah accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Nishi 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.

When was this NPI record last updated?

The NPPES record for Nishi Shah was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.