KAVITA SANJIV SHAH (M.D.) – Internal Medicine Physician, NPI 1023088507

KAVITA SANJIV SHAH (M.D.) is a healthcare provider. based in Azle, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. K9415 (TX). The NPI Number for KAVITA SANJIV SHAH (M.D.) is 1023088507

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
KAVITA SANJIV SHAH (M.D.)
NPI
1023088507
Phone
(817) 238-0735
Address
909 SOUTHEAST PKWY STE 105
Enumeration Date
25 January 2006
Last Update Date
23 October 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8179857772
Graduation Year
1984 (42 years ago)
PAC ID
9537298286
Group Practice PAC ID
1355707423
Professional Enrollment ID
I20100519000154
Address ID
TX761099534FO4400XLNXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for KAVITA SANJIV SHAH (M.D.)

  • Southeast Parkway Street, Castle Hill Estate, Azle, Tarrant County, Texas, 76020, United States

    AZLE, TX 760203600

    Phone: (817) 238-0735

    Fax: (817) 238-7327

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 89 Open Payments records for all available years, with a total value of $1,763.

Total Amount is formed as General ($1,763) + Research ($0) + Ownership ($0) = $1,763.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($269).

Total Amount

$1,763

General + Research + Ownership

Payments

89

Total payment records

General Amount

$1,763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2010-05-19

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
I20100519000154IInternal MedicineTXTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes527244$0
J1100Injection, dexamethasone sodium phosphate, 1 mg16834$0
99213Established patient office or other outpatient visit, 20-29 minutes142101$0
G0008Administration of influenza virus vaccine10398$0
90662Influenza vaccine split virus, preservative free10096$0
View full utilization report →

Insurance plans in this area (ZIP 76020)

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Provider's Procedures

KAVITA SANJIV SHAH (M.D.) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINETX85610Blood test, clotting time11117

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: 1355707423View full group profile
NameSpecialtyState
Internal MedicineTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Family Practice, Sleep MedicineTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What federal number belongs to KAVITA SANJIV SHAH (M.D.)?
The federal identifier for KAVITA SANJIV SHAH (M.D.) is NPI 1023088507.
Is KAVITA SANJIV SHAH (M.D.)'s NPI currently valid?
The extract we use shows KAVITA SANJIV SHAH (M.D.) as active.
Can you summarize KAVITA SANJIV SHAH (M.D.)'s specialty in plain language?
Clinically, the directory lists KAVITA SANJIV SHAH (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for KAVITA SANJIV SHAH (M.D.)?
We surface Azle, Texas for KAVITA SANJIV SHAH (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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