SHANIL SHAH (MD) – Internal Medicine Physician, NPI 1154974145

SHANIL SHAH (MD) is a healthcare provider. based in Worcester, Massachusetts. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. ME165027 (FL). The NPI Number for SHANIL SHAH (MD) is 1154974145

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANIL SHAH (MD)
NPI
1154974145
Phone
(508) 363-5000
Address
ST VINCENT HOSPITAL
Enumeration Date
19 July 2019
Last Update Date
26 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5083639394
Graduation Year
2015 (11 years ago)
PAC ID
5890162309
Group Practice PAC ID
4183038359
Professional Enrollment ID
I20221111001434
Address ID
MA016081216WO123XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

7,722 INTERNAL MEDICINE in MA

Provider Addresses for SHANIL SHAH (MD)

  • ST VINCENT HOSPITAL

    123 SUMMER STREET

    WORCESTER, MA 01608

    Phone: (508) 363-5000

    Type: Mailing

  • 1936 BRUCE B DOWNS BLVD

    WESLEY CHAPEL, FL 335449262

    Phone: (352) 307-9925

    Type: Mailing

  • ST VINCENT HOSPITAL, DEPARTMENT OF INTERNAL MEDICINE

    123 SUMMER STREET

    WORCESTER, MA 01608

    Phone: (508) 363-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $471.

Total Amount is formed as General ($471) + Research ($0) + Ownership ($0) = $471.

Last reported payment date: 2024-09-30 • Largest payer in this snapshot: Boston Scientific Corporation ($125).

Total Amount

$471

General + Research + Ownership

Payments

14

Total payment records

General Amount

$471

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-30

Latest reported date

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: 2024-02-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20221111001434IInternal MedicineMATBD
I20240229002879IInternal MedicineFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes374118$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes10535$0
99239Hospital discharge day management, more than 30 minutes8382$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6060$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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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: 4183038359View full group profile
NameSpecialtyState
Internal MedicineMA
Pediatric Medicine, Hematology/Oncology, Internal MedicineTN
Nurse PractitionerMA
Internal MedicineMA
Nurse PractitionerNY
Internal MedicinePA
Internal MedicineMA
Critical Care (Intensivists), Internal MedicineMA
Internal MedicineMA
Nurse PractitionerNY

Reviews

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Frequently asked questions

What unique ID ties claims to SHANIL SHAH (MD)?
NPI 1154974145 is assigned to SHANIL SHAH (MD) under the national enumeration system.
Is SHANIL SHAH (MD) currently active in the NPI registry?
CMS-published data lists SHANIL SHAH (MD) as an active registrant.
What kind of provider is SHANIL SHAH (MD)?
The page reflects Internal Medicine Physician for SHANIL SHAH (MD). Clinical services aligned with this taxonomy classification.
Does SHANIL SHAH (MD) practice in Massachusetts?
You will see Worcester, Massachusetts on file for SHANIL SHAH (MD) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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