DR. PHALGOON A. SHAH (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1821409319
Critical Care Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
252 CRITICAL CARE (INTENSIVISTS) in KY
Provider Addresses for DR. PHALGOON A. SHAH (MD)
201 Park St
Bowling Green, KY 421011708
Phone: (270) 781-5111
Fax: (270) 780-0473
Type: Location
280 Exempla Cir
Lafayette, CO 800263370
Phone: (303) 338-4545
Type: Location
201 PARK ST
BOWLING GREEN, KY 421011708
Phone: (270) 781-5111
Fax: (270) 780-0473
Type: Mailing
1 MEDICAL VILLAGE DR
EDGEWOOD, KY 410173403
Phone: (859) 757-2927
Fax: (859) 341-0203
Type: Mailing
10350 E DAKOTA AVE
DENVER, CO 802471314
Phone:
Type: Mailing
280 EXEMPLA CIR
LAFAYETTE, CO 800263370
Phone: (303) 338-4545
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 47 Open Payments records for all available years, with a total value of $1,165.
Total Amount is formed as General ($1,165) + Research ($0) + Ownership ($0) = $1,165.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($300).
Total Amount
$1,165
General + Research + Ownership
Payments
47
Total payment records
General Amount
$1,165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $300 |
| AstraZeneca Pharmaceuticals LP | $181 |
| Amgen Inc. | $133 |
| Body Vision Medical Inc. | $85 |
| Mylan Specialty L.P. | $69 |
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: 2025-01-13
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180124003286 | I | Pulmonary Disease | OH | TBD |
| I20200521002053 | I | Pulmonary Disease | KY | TBD |
| I20241202000180 | I | Pulmonary Disease | TX | TBD |
| I20250113002601 | I | Pulmonary Disease | NM | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 152 | 80 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 137 | 91 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 40 | 40 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 28 | 20 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 13 | 13 | $0 |
Insurance plans in this area (ZIP 42101)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Pulmonary Disease | TX | |
| Internal Medicine, Pulmonary Disease, Emergency Medicine, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine, Critical Care (Intensivists) | TX | |
| Sleep Medicine, Critical Care (Intensivists), Pulmonary Disease | TX | |
| Pulmonary Disease, Internal Medicine | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | NM | |
| Nurse Practitioner | TX |
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