KSHITIJ SHAH MD
NPI 1992004642
Internal Medicine in Austin, TX

Active since March 21, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
12221 N MOPAC EXPY, AUSTIN, TX 78758(512) 901-4009(512) 901-3909 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2021, Jan 19, 2017, Sep 12, 2016 (3 updates tracked since 2016).

About Kshitij Shah Md NPPES

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

KSHITIJ SHAH MD (NPI 1992004642) is an individual internal medicine provider in Austin, Texas, licensed in Texas (Q4280) and active in the NPI registry since March 2011. He is enrolled in Medicare PECOS, is affiliated with North Austin Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1992004642
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKSHITIJ SHAHCredential: MD
Location Address12221 N MOPAC EXPYAustin, TX 78758-2401
Mailing Address12221 N Mopac ExpyAustin, TX 78758-2401 · (512) 901-4009 · Fax (512) 901-3909
Fax(512) 901-3909
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMarch 21, 2011
Last NPPES UpdateFebruary 26, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2021
NPI 1992004642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · Q4280 Licensed in NJ · 25MA09601100 Licensed in NY · 276756
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License Q4280 (TX)
12221 N MOPAC EXPY, Austin, TX 78758

Other Identifiers 1

Medicaid362544401TX

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

Kshitij 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 ID1759607252
PECOS Enrollment IDI20160913001289
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.

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.
311 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
232 services96 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
148 services136 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
72 services65 patients

Hospital Affiliations CMS Care Compare

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

North Austin Medical Center

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450809
Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Referred Medical Equipment & Supplies CMS DME claims

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

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
3 suppliers21 claims21 services$59.95 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.

Pathology (Anatomic Pathology & Clinical Pathology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Speech-Language Pathologist
12221 N MOPAC EXPY
AUSTIN, TX 78758
Occupational Therapist (Physical Rehabilitation)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Nurse Anesthetist, Certified Registered
12221 N MOPAC EXPY
AUSTIN, TX 78758
Emergency Medicine
12221 N MOPAC EXPY
AUSTIN, TX 78758
Internal Medicine (Interventional Cardiology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Psychiatry & Neurology (Neurology)
12221 N MOPAC EXPY
AUSTIN, TX 78758
Obstetrics & Gynecology
12221 N MOPAC EXPY
AUSTIN, TX 78758

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 Kshitij Shah's NPI number?

The NPI number for Kshitij Shah is 1992004642. It was assigned to this individual provider in the NPPES registry on March 21, 2011.

Where is Kshitij Shah located?

Kshitij Shah practices at 12221 N Mopac Expy, Austin, TX 78758. The listed phone number is (512) 901-4009.

What is Kshitij Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kshitij Shah enrolled in Medicare?

Yes. Kshitij 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 Kshitij Shah accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Kshitij 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 Kshitij Shah affiliated with any hospitals?

According to CMS data, Kshitij Shah is affiliated with North Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Kshitij Shah was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.