BASIL SHAH (MD) – Diagnostic Radiology Physician, NPI 1679684872
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,531 DIAGNOSTIC RADIOLOGY in VA
Provider Addresses for BASIL SHAH (MD)
PO BOX 1810
GULFPORT, MS 395021810
Phone: (228) 867-5006
Fax: (228) 867-5079
Type: Mailing
8700 Sudley Rd
Manassas, VA 201104418
Phone: (703) 369-8073
Type: Location
MEDICAL CENTER BLVD
WINSTON SALEM, NC 271570001
Phone: (336) 716-7243
Fax: (336) 716-7432
Type: Mailing
1340 Broad Ave
Suite 450
Gulfport, MS 395012404
Phone: (228) 867-5006
Fax: (228) 867-5079
Type: Location
1340, Broad Avenue, Gulfport, Harrison County, Mississippi, 39501, United States
SUITE 450
GULFPORT, MS 395012404
Phone: (228) 867-5006
Fax: (228) 867-5079
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $66.
Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.
Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($28).
Total Amount
$66
General + Research + Ownership
Payments
3
Total payment records
General Amount
$66
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bard Peripheral Vascular, Inc. | $28 |
| Stryker Corporation | $19 |
| DePuy Synthes Sales 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: 2026-01-12
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040721001320 | I | Diagnostic Radiology | VA | TBD |
| I20201222002075 | I | Diagnostic Radiology | SC | TBD |
| I20230417000620 | I | Diagnostic Radiology | GA | TBD |
| I20241202000982 | I | Diagnostic Radiology | NC | TBD |
| I20260112003308 | I | Diagnostic Radiology | PA | 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 |
|---|---|---|---|---|
| 70450 | Ct scan head or brain without contrast | 425 | 400 | $0 |
| 71250 | Ct scan of chest without contrast | 170 | 167 | $0 |
| 70551 | Mri scan of brain without contrast | 121 | 121 | $0 |
| 71046 | X-ray of chest, 2 views | 113 | 113 | $0 |
| 71271 | Low dose ct scan of chest for lung cancer screening | 111 | 111 | $0 |
Insurance plans in this area (ZIP 39502)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | WY | |
| Diagnostic Radiology | IL | |
| Diagnostic Radiology | NC | |
| Diagnostic Radiology | GA | |
| Diagnostic Radiology | AR | |
| - | NC | |
| - | NC | |
| - | NC | |
| - | NC | |
| Nurse Practitioner | SC |
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