MIT SHAH (MD) – Urology Physician, NPI 1407412455
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
469 UROLOGY in MI
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Provider Addresses for MIT SHAH (MD)
716, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480732411
Phone:
Type: Mailing
Beaumont Hospital - Royal Oak, 3601, West 13 Mile Road, Royal Oak, Oakland County, Michigan, 48073, United States
ROYAL OAK, MI 480736712
Phone: (248) 898-5000
Type: Location
4320 DAIRYMANS CIR
NAPERVILLE, IL 605647102
Phone:
Type: Mailing
7720 S BROADWAY
LITTLETON, CO 801222632
Phone: (303) 733-8848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $730.
Total Amount is formed as General ($730) + Research ($0) + Ownership ($0) = $730.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Boston Scientific Corporation ($548).
Total Amount
$730
General + Research + Ownership
Payments
11
Total payment records
General Amount
$730
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $548 |
| Olympus America Inc. | $145 |
| COLOPLAST CORP | $18 |
| ACCORD HEALTHCARE, INC. | $18 |
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: 2024-09-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240911003480 | I | Urology | CO | 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 48073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | MO | |
| Physician Assistant | CO | |
| Radiation Oncology | CO | |
| Physician Assistant | CO | |
| U R O L O G Y | CO | |
| - | CO | |
| Physician Assistant | CO | |
| U R O L O G Y | CO | |
| U R O L O G Y | CO | |
| - | CO |
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