DR. MAULI N SHAH (MD) – Endocrinology, Diabetes & Metabolism Physician, NPI 1083050058
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
166 ENDOCRINOLOGY in WA
Provider Addresses for DR. MAULI N SHAH (MD)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
747 BROADWAY
SEATTLE, WA 981224379
Phone: (206) 215-2520
Fax: (206) 386-3180
Type: Location
110 DEER RIDGE DR
ROUND ROCK, TX 786815514
Phone: (512) 458-8400
Fax: (512) 485-8593
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $880.
Total Amount is formed as General ($880) + Research ($0) + Ownership ($0) = $880.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: Lilly USA, LLC ($180).
Total Amount
$880
General + Research + Ownership
Payments
41
Total payment records
General Amount
$880
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $180 |
| Novo Nordisk Inc | $105 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $90 |
| Amgen Inc. | $83 |
| BETA BIONICS, INC. | $82 |
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: 2023-05-05
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 |
|---|---|---|---|---|
| I20230505002528 | I | Endocrinology | TX | 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 84125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| E N D O C R I N O L O G Y | TX | |
| Certified Clinical Nurse Specialist (Cns) | TX | |
| Endocrinology, Internal Medicine | TX | |
| - | TX | |
| E N D O C R I N O L O G Y | TX | |
| Nurse Practitioner | TX |
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