ARPAN SHIRISH SHAH MD
NPI 1982947727
Internal Medicine - Critical Care Medicine in Springfield, IL

Active since March 30, 2013PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
800 E CARPENTER ST, SPRINGFIELD, IL 62769(217) 528-7541 Get Directions Write a Review

NPPES record last updated: April 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2026, Sep 11, 2024, Jul 29, 2019 and 2 more (5 updates tracked since 2018).

About Arpan Shirish Shah Md NPPES

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

ARPAN SHIRISH SHAH MD (NPI 1982947727) is an individual critical care medicine provider in Springfield, Illinois, licensed in Texas (T4846) and active in the NPI registry since March 2013. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1982947727
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameARPAN SHIRISH SHAHCredential: MD
Location Address800 E CARPENTER STSpringfield, IL 62769-5213
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateMarch 30, 2013
Last NPPES UpdateApril 25, 20265 updates tracked since enumeration
NPPES CertifiedApril 25, 2026
NPI 1982947727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses Licensed in TX · T4846 Licensed in IL · 0361234567
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
800 E CARPENTER ST, Springfield, IL 62769

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

Arpan Shirish 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 ID4587952106
PECOS Enrollment IDI20220328000555, I20250730001488
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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
257 services105 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
22 services18 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
16 services12 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

St Lukes Hospital

Acute Care Hospitals · Chesterfield, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260179
Location232 S Woods Mill RdChesterfield, MO 63017 · St. Louis County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62769 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Nurse Anesthetist, Certified Registered
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Internal Medicine (Critical Care Medicine)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Radiology (Diagnostic Radiology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Anesthesiology
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Pathology (Anatomic Pathology & Clinical Pathology)
800 E CARPENTER ST
SPRINGFIELD, IL 62769
Occupational Therapist
800 E CARPENTER ST
SPRINGFIELD, IL 62769

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 Arpan Shah's NPI number?

The NPI number for Arpan Shah is 1982947727. It was assigned to this individual provider in the NPPES registry on March 30, 2013.

Where is Arpan Shah located?

Arpan Shah practices at 800 E Carpenter St, Springfield, IL 62769. The listed phone number is (217) 528-7541.

What is Arpan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Arpan Shah enrolled in Medicare?

Yes. Arpan 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 Arpan Shah accept?

Health plans from Blue Cross and Blue Shield of Texas and Oscar Insurance Company list Arpan 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 Arpan Shah affiliated with any hospitals?

According to CMS data, Arpan Shah is affiliated with St Lukes Hospital and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Arpan Shah was last updated on April 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.