MR. HEMANG H SHAH MD
NPI 1982654042
Psychiatry & Neurology - Sleep Medicine in Portsmouth, VA

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
7.5/100
CMS Quality Rating
3235 ACADEMY AVE, STE 305, PORTSMOUTH, VA 23703(757) 686-9300(757) 686-1514 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Hemang H Shah Md NPPES

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

MR. HEMANG H SHAH MD (NPI 1982654042) is an individual sleep medicine provider in Portsmouth, Virginia, licensed in Virginia (0101053861) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1982654042
Entity TypeIndividualMale
Primary Taxonomy2084S0012X
Provider Legal NameMR. HEMANG H SHAHCredential: MD
Location Address3235 ACADEMY AVE, STE 305Portsmouth, VA 23703-3200
Mailing Address2876 Guardian LaneVirginia Beach, VA 23452-7327 · (757) 463-5240 · Fax (757) 463-6572
Fax(757) 686-1514
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
NPI 1982654042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychiatry & Neurology · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0012X
License Licensed in VA · 0101053861
Definition
A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 0101053861 (VA)
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 0101053861 (VA)
Also ListedRespiratory Therapist, Certified · Pulmonary DiagnosticsTaxonomy 2278P1004X · License 0101053861 (VA)
3235 ACADEMY AVE, Portsmouth, VA 23703

Other Identifiers 12

Other0629WNC · Blue Cross Blue Shield
Other54527VA · Sentara
Medicaid007110090VA
Other150572900VA · Dept Of Labor
Medicaid7116314VA
Other40724VA · Virginia Chartered Health
Medicaid790651VNC
Other339580VA · Alliance Mamsi
Medicaid890629WNC
Other0500125VA · United Healthcare
Other324792VA · Anthem
Other339580VA · Mpipa Optima Choice

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

Mr. Hemang H 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 ID3274504659
PECOS Enrollment IDI20071101000628
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 9

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.

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
1,550 services293 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.
1,031 services753 patients
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453
Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.
272 services272 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.
267 services195 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
106 services75 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.
63 services63 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23703 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
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.

7.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 20

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
34 suppliers1,973 claims1,973 services$32.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
17 suppliers925 claims925 services$73.05 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
19 suppliers884 claims2,604 services$28.51 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
21 suppliers791 claims4,633 services$15.31 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
21 suppliers370 claims2,171 services$12.60 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
30 suppliers1,244 claims1,244 services$47.59 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 20

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

Nurse Practitioner
3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703
Colon & Rectal Surgery
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Optometrist
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Internal Medicine (Nephrology)
3235 ACADEMY AVE, STE 301
PORTSMOUTH, VA 23703
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703
Internal Medicine (Nephrology)
3235 ACADEMY AVE, SUITE 301
PORTSMOUTH, VA 23703
Ophthalmology
3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

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 Hemang Shah's NPI number?

The NPI number for Hemang Shah is 1982654042. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Hemang Shah located?

Hemang Shah practices at 3235 Academy Ave Ste 305, Portsmouth, VA 23703. The listed phone number is (757) 686-9300.

What is Hemang Shah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sleep Medicine, with taxonomy code 2084S0012X.

Is Hemang Shah enrolled in Medicare?

Yes. Hemang 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.

When was this NPI record last updated?

The NPPES record for Hemang Shah was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.