AJAY KUMAR SHAH MD
NPI 1992943450
Hospitalist in Charlottesville, VA

Active since January 21, 2009PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE, VA 22911(434) 654-7580(434) 654-7582 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ajay Kumar Shah Md NPPES

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

AJAY KUMAR SHAH MD (NPI 1992943450) is an individual hospitalist provider in Charlottesville, Virginia, licensed in Virginia (0101251911) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and maintains a secondary practice location in Rockingham.

NPPES Registry Identity

NPI1992943450
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameAJAY KUMAR SHAHCredential: MD
Location Address500 MARTHA JEFFERSON DRCharlottesville, VA 22911
Mailing AddressPo Box 79777Baltimore, MD 21279-0777 · (434) 654-7794 · Fax (434) 654-7582
Fax(434) 654-7582
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJanuary 21, 2009
Last NPPES UpdateFebruary 23, 2024
NPPES CertifiedFebruary 23, 2024
NPI 1992943450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in VA · 0101251911
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0101251911 (VA)
500 MARTHA JEFFERSON DR, Charlottesville, VA 22911

Other Names 1

Other Name (5)Ajay K Shah Md

Secondary Practice Location 1

Location 12010 Health Campus DrRockingham, VA 22801-8679 · Phone (540) 564-5435

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

Ajay Kumar 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 ID9335290717
PECOS Enrollment IDI20120821001149
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 6

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 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.
522 services253 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.
266 services254 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.
204 services116 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.
83 services82 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
42 services26 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Sentara Martha Jefferson Hospital

Acute Care Hospitals · Charlottesville, VA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490077
Location500 Martha Jefferson DriveCharlottesville, VA 22911 · Albemarle County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22911 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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers22 claims22 services$17.30 avg. paid by Medicare
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
2 suppliers27 claims27 services$90.98 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.

Neurological Surgery
500 MARTHA JEFFERSON DR, 5TH FLOOR
CHARLOTTESVILLE, VA 22911
Nurse Practitioner (Family)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Nurse Practitioner (Gerontology)
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Radiology (Diagnostic Radiology)
500 MARTHA JEFFERSON DR, CHARLOTTESVILLE RADIOLOGY
CHARLOTTESVILLE, VA 22911
Emergency Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Urology
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Physician Assistant
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911
Internal Medicine
500 MARTHA JEFFERSON DR
CHARLOTTESVILLE, VA 22911

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 Ajay Shah's NPI number?

The NPI number for Ajay Shah is 1992943450. It was assigned to this individual provider in the NPPES registry on January 21, 2009. The provider is also known as Ajay K Shah MD.

Where is Ajay Shah located?

Ajay Shah practices at 500 Martha Jefferson Dr, Charlottesville, VA 22911. The listed phone number is (434) 654-7580.

What is Ajay Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Ajay Shah enrolled in Medicare?

Yes. Ajay 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.

Is Ajay Shah affiliated with any hospitals?

According to CMS data, Ajay Shah is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center and Sentara Martha Jefferson Hospital.

When was this NPI record last updated?

The NPPES record for Ajay Shah was last updated on February 23, 2024. 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.