DIPAM KIRAN SHAH (MD) – Internal Medicine Physician, NPI 1164787131
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DIPAM KIRAN SHAH (MD)
500 FOX HILLS DR N APT 8
BLOOMFIELD HILLS, MI 483041339
Phone: (714) 724-4521
Fax: (714) 964-7852
Type: Mailing
44405 WOODWARD AVENUE
PONTIAC, MI 48341
Phone: (248) 858-6233
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2017-11-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20151103001784 | I | Internal Medicine | WA | TBD |
| I20171107001158 | I | Internal Medicine | CA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48304)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| - | CA | |
| - | CA | |
| O T O L A R Y N G O L O G Y | CA | |
| - | CA | |
| Endocrinology, Internal Medicine | CA | |
| - | CA | |
| D E R M A T O L O G Y | CA | |
| - | CA |
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