NIMISH N SHAH MD
NPI 1992167639
Internal Medicine - Cardiovascular Disease in Northampton, MA

Active since March 22, 2016PECOS EnrolledAccepts Medicare Assignment
325B KING ST, NORTHAMPTON, MA 01060(413) 794-2273(413) 387-4136 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2023, Jun 3, 2019, Mar 22, 2016 (3 updates tracked since 2016).

About Nimish N Shah Md NPPES

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

NIMISH N SHAH MD (NPI 1992167639) is an individual cardiovascular disease provider in Northampton, Massachusetts, licensed in Massachusetts (1013686) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Greenfield.

NPPES Registry Identity

NPI1992167639
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameNIMISH N SHAHCredential: MD
Location Address325B KING STNorthampton, MA 01060-2370
Mailing Address280 Chestnut Street, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700
Fax(413) 387-4136
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2016
Enumeration DateMarch 22, 2016
Last NPPES UpdateAugust 28, 20233 updates tracked since enumeration
NPPES CertifiedAugust 28, 2023
NPI 1992167639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MA · 1013686
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
325B KING ST, Northampton, MA 01060

Secondary Practice Location 1

Location 1164 High StGreenfield, MA 01301-2613 · Phone (413) 794-2273 · Fax (413) 773-2841

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

Nimish N 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 ID1850627159
PECOS Enrollment IDI20230719003674
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 26

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
452 services449 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
346 services300 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
192 services186 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.
105 services94 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
104 services104 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
86 services75 patients

Hospital Affiliations CMS Care Compare 5

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Baystate Franklin Medical Center

Acute Care Hospitals · Greenfield, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220016
Location164 High StreetGreenfield, MA 01301 · Franklin County
Emergency services Birthing friendly

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220065
Location115 West Silver StreetWestfield, MA 01085 · Hampden County
Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220077
Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01060 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
$134.47 typical visit price
range $58.86 – $177.36
Typical copayment $33.61 (range $14.71 – $44.34)
Most-billed visit code 99204
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
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)
325B KING ST
NORTHAMPTON, MA 01060
Physician Assistant (Medical)
325B KING ST
NORTHAMPTON, MA 01060
Internal Medicine (Cardiovascular Disease)
325B KING ST
NORTHAMPTON, MA 01060
Internal Medicine (Cardiovascular Disease)
325B KING ST
NORTHAMPTON, MA 01060
Physician Assistant
325B KING ST
NORTHAMPTON, MA 01060
Family Medicine
325B KING ST
NORTHAMPTON, MA 01060
Nurse Practitioner (Family)
325B KING ST
NORTHAMPTON, MA 01060
Emergency Medicine
325B KING ST, #3
NORTHAMPTON, MA 01060

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 Nimish Shah's NPI number?

The NPI number for Nimish Shah is 1992167639. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Nimish Shah located?

Nimish Shah practices at 325B King St, Northampton, MA 01060. The listed phone number is (413) 794-2273.

What is Nimish Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nimish Shah enrolled in Medicare?

Yes. Nimish 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 Nimish Shah accept?

Health plans from Anthem Blue Cross and Blue Shield list Nimish 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 Nimish Shah affiliated with any hospitals?

According to CMS data, Nimish Shah is affiliated with Cooley Dickinson Hospital Inc,the, Baystate Franklin Medical Center, Berkshire Medical Center, Baystate Noble Hospital and Baystate Medical Center.

When was this NPI record last updated?

The NPPES record for Nimish Shah was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.