SYED SHEHERYAR AHMED SHAH (MD) – Nephrology Physician, NPI 1174019905

SYED SHEHERYAR AHMED SHAH (MD) is a healthcare provider. based in Pine bluff, Arkansas. specializing in NEPHROLOGY. They hold the professional credentials MD. They hold a License No. 33819 (OK). The NPI Number for SYED SHEHERYAR AHMED SHAH (MD) is 1174019905

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
SYED SHEHERYAR AHMED SHAH (MD)
NPI
1174019905
Phone
(870) 541-7211
Address
PO BOX 2650
Enumeration Date
4 July 2018
Last Update Date
13 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705416020
Graduation Year
2016 (10 years ago)
PAC ID
9537561410
Group Practice PAC ID
8123927431
Professional Enrollment ID
I20230726002430
Address ID
AR716037010PI1420XAVEX401

Contacts

Other Endpoint
NA
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:7State licenses:3Other namesUpdated within 12 months

99 NEPHROLOGY in AR

Provider Addresses for SYED SHEHERYAR AHMED SHAH (MD)

  • PO BOX 2650

    PINE BLUFF, AR 716132650

    Phone: (870) 541-7211

    Fax: (870) 541-4297

    Type: Mailing

  • 1420 W 43RD AVE STE A

    PINE BLUFF, AR 716037010

    Phone: (870) 541-6020

    Fax: (870) 541-6021

    Type: Location

  • 800, Stanton L Young Boulevard, Oklahoma City, Oklahoma County, Oklahoma, 73104, United States

    OKLAHOMA CITY, OK 731045018

    Phone: (405) 271-5963

    Type: Mailing

  • 1008 Spring Avenue, SLUCare Academic Pavilion

    Room 2418

    St Louis, MO 63110

    Phone: (314) 977-2650

    Type: Location

  • 800 Stanton L Young Blvd

    Oklahoma City, OK 731045018

    Phone: (405) 271-5963

    Type: Location

  • 1008 SPRING AVENUE, SLUCARE ACADEMIC PAVILION

    ROOM 2418

    ST LOUIS, MO 63110

    Phone: (314) 977-2650

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $669.

Total Amount is formed as General ($669) + Research ($0) + Ownership ($0) = $669.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Ardelyx, Inc. ($178).

Total Amount

$669

General + Research + Ownership

Payments

27

Total payment records

General Amount

$669

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230726002430INephrologyARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes7932$0
90935Hemodialysis procedure with physician evaluation6228$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4118$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2519$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 71613)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123927431View full group profile
NameSpecialtyState
Family PracticeAR
R H E U M A T O L O G YAR
Orthopedic SurgeryAR
Vascular Surgery, General Surgery, Thoracic SurgeryAR
Family PracticeAR
Internal MedicineWI
Interventional Cardiology, Internal MedicineFL
Family PracticeAR
Nurse PractitionerAR
Family Practice, Emergency MedicineAR

Reviews

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Frequently asked questions

How do I look up SYED SHEHERYAR AHMED SHAH (MD) by NPI?
Use NPI 1174019905 when you need to reference SYED SHEHERYAR AHMED SHAH (MD) in forms, claims, or directories.
Is SYED SHEHERYAR AHMED SHAH (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SYED SHEHERYAR AHMED SHAH (MD)'s specialty in plain language?
Clinically, the directory lists SYED SHEHERYAR AHMED SHAH (MD) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
Where is SYED SHEHERYAR AHMED SHAH (MD)'s primary listing?
We display Pine Bluff, Arkansas because that is what the record indicates for SYED SHEHERYAR AHMED SHAH (MD).
How can I contact SYED SHEHERYAR AHMED SHAH (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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