SHEFALI SHAH MD
NPI 1962961060
Family Medicine in Roanoke, VA

Active since March 18, 2019PECOS EnrolledAccepts Medicare Assignment
4035 ELECTRIC RD STE A, ROANOKE, VA 24018(540) 772-8670(540) 772-7901 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2022, Mar 18, 2019 (2 updates tracked since 2019).

About Shefali Shah Md NPPES

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

SHEFALI SHAH MD (NPI 1962961060) is an individual family medicine provider in Roanoke, Virginia, licensed in Virginia (0101275651) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Carilion Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962961060
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEFALI SHAHCredential: MD
Location Address4035 ELECTRIC RD STE ARoanoke, VA 24018-8449
Mailing Address213 S Jefferson St Ste 625Roanoke, VA 24011-1713 · (540) 224-5372 · Fax (540) 224-5684
Fax(540) 772-7901
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 18, 2019
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedApril 13, 2021
NPI 1962961060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101275651
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License RTL190348 (NC)
4035 ELECTRIC RD STE A, Roanoke, VA 24018

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

Shefali 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 ID4789917923
PECOS Enrollment IDI20220721001445, I20240409005139
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 2

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 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.
55 services54 patients
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.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Carilion Medical Center

Acute Care Hospitals · Roanoke, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490024
Location1906 Belleview Avenue, SERoanoke, VA 24014 · Roanoke City County
Emergency services Birthing friendly

Carilion Franklin Memorial Hospital

Acute Care Hospitals · Rocky Mount, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490089
Location180 Floyd AvenueRocky Mount, VA 24151 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24018 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.

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.

Nurse Practitioner (Family)
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Nurse Practitioner (Family)
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Physician Assistant
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Physician Assistant
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Nurse Practitioner (Family)
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Nurse Practitioner (Family)
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Nurse Practitioner (Family)
4035 ELECTRIC RD STE A
ROANOKE, VA 24018
Family Medicine
4035 ELECTRIC RD STE A
ROANOKE, VA 24018

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 Shefali Shah's NPI number?

The NPI number for Shefali Shah is 1962961060. It was assigned to this individual provider in the NPPES registry on March 18, 2019.

Where is Shefali Shah located?

Shefali Shah practices at 4035 Electric Rd Ste A, Roanoke, VA 24018. The listed phone number is (540) 772-8670.

What is Shefali Shah's specialty?

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

Is Shefali Shah enrolled in Medicare?

Yes. Shefali 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 Shefali Shah accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shefali 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 Shefali Shah affiliated with any hospitals?

According to CMS data, Shefali Shah is affiliated with Carilion Medical Center and Carilion Franklin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shefali Shah was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.