DR. ANKUR SHAH (M.D.) – Internal Medicine Physician, NPI 1043653116

DR. ANKUR SHAH (M.D.) is a healthcare provider. based in Providence, Rhode Island. specializing in NEPHROLOGY. They hold the professional credentials M.D.. They hold a License No. MD16227 (RI). The NPI Number for DR. ANKUR SHAH (M.D.) is 1043653116

Main info

Male
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANKUR SHAH (M.D.)
NPI
1043653116
Phone
(401) 649-4060
Address
593 Eddy St
Enumeration Date
9 April 2013
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
RUTGERS NEW JERSEY MEDICAL SCHOOL
Secondary Phone
4014903838
Graduation Year
2013 (13 years ago)
PAC ID
5991091548
Group Practice PAC ID
0446159776
Professional Enrollment ID
I20180803000285
Address ID
RI028864400WA250XXRDXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness85
Years active:13State licenses:1Digital endpointsOther names

57 NEPHROLOGY in RI

Provider Addresses for DR. ANKUR SHAH (M.D.)

  • 593 Eddy St

    Providence, RI 029034923

    Phone: (401) 649-4060

    Type: Location

  • 110 ELM ST

    PROVIDENCE, RI 029034626

    Phone: (877) 771-7401

    Type: Mailing

  • 375 WAMPANOAG TRL STE 302A

    RIVERSIDE, RI 029152235

    Phone: (401) 649-4060

    Fax: (401) 649-4061

    Type: Location

  • DEPT 3010, PO BOX 986524

    BOSTON, MA 022986524

    Phone: (401) 443-4992

    Fax: (401) 784-4913

    Type: Mailing

  • 375 WAMPANOAG TRL

    RIVERSIDE, RI 029152232

    Phone: (401) 649-4060

    Fax: (401) 649-4061

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 33 Open Payments records for all available years, with a total value of $21,811.

Total Amount is formed as General ($21,811) + Research ($0) + Ownership ($0) = $21,811.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Otsuka Pharmaceutical Development & Commercialization, Inc. ($16,047).

Total Amount

$21,811

General + Research + Ownership

Payments

33

Total payment records

General Amount

$21,811

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2018-08-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180803000285INephrologyRITBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes12462$0
90966Home dialysis services per month (20 years or older)9228$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4827$0
99214Established patient office or other outpatient visit, 30-39 minutes4230$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2525$0
View full utilization report →

Insurance plans in this area (ZIP 02903)

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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: 0446159776View full group profile
NameSpecialtyState
E N D O C R I N O L O G YRI
Geriatric MedicineRI
Internal MedicineRI
-RI
-RI
Infectious DiseaseRI
-RI
Infectious DiseaseRI
Internal MedicineRI
Pulmonary DiseaseRI

Reviews

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Frequently asked questions

Is DR. ANKUR SHAH (M.D.) listed with a National Provider Identifier?
Yes — DR. ANKUR SHAH (M.D.) has NPI 1043653116 on file in the registry.
Active or inactive — what applies to DR. ANKUR SHAH (M.D.)?
You should see DR. ANKUR SHAH (M.D.) as active in CMS-hosted NPPES data.
How would a patient describe DR. ANKUR SHAH (M.D.)'s focus?
For DR. ANKUR SHAH (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. ANKUR SHAH (M.D.)?
Directory geography for DR. ANKUR SHAH (M.D.) centers on Providence, Rhode Island.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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