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DR. NEIL NAYAN SHAH M.D.
NPI 1992016919
Internal Medicine in Austin, TX

Active since June 24, 2010PECOS Enrolled
1198 NAVASOTA ST, AUSTIN, TX 78702(570) 780-5140 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 14, 2026, Sep 3, 2019, Sep 14, 2016 (3 updates tracked since 2016).

About Dr. Neil Nayan Shah M.d. NPPES

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

DR. NEIL NAYAN SHAH M.D. (NPI 1992016919) is an individual internal medicine provider in Austin, Texas, licensed in Texas (Q5094) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sunrise.

NPPES Registry Identity

NPI1992016919
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEIL NAYAN SHAHCredential: M.D.
Location Address1198 NAVASOTA STAustin, TX 78702-1951
Mailing Address1198 Navasota StAustin, TX 78702-1951 · (570) 780-5140 · Fax (512) 487-1579
Phone(570) 780-5140
Sole ProprietorNo
Enumeration DateJune 24, 2010
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1992016919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · Q5094✔ Licensed in MA · 257897
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.
1198 NAVASOTA ST, Austin, TX 78702
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Secondary Practice Location 1

Location 11571 Sawgrass Corporate Pkwy Ste 140Sunrise, FL 33323-2807 · Phone (800) 400-6354

Other Identifiers 1

Medicaid354776202TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Neil Nayan Shah M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Neil Shah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Seton Family Of Doctors
0.6 mi
Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
NPI 1588997233 (512) 324-8300
Signify Health Medical Associates, PLLC
190 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Texas enrollment
  • 1,246 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78702 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.

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 Neil Shah's NPI number?

The NPI number for Neil Shah is 1992016919. It was assigned to this individual provider in the NPPES registry on June 24, 2010.

Where is Neil Shah located?

Neil Shah practices at 1198 Navasota St, Austin, TX 78702. The listed phone number is (570) 780-5140.

What is Neil Shah's specialty?

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

Is Neil Shah enrolled in Medicare?

Yes. Neil Shah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Neil Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Shah reassigns Medicare benefits to 2 organizations: Seton Family Of Doctors (Austin, TX) and Signify Health Medical Associates, PLLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neil Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neil Shah accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Blue Cross and Blue Shield of Texas list Neil 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 Neil Shah was last updated on July 14, 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.