DR. PRAKASH D SHAH (M.D.) – Cardiovascular Disease Physician, NPI 1013917996
Cardiovascular Disease Physician
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Profile Insights
NPPES metrics only — not quality of care.
705 CARDIOVASCULAR DISEASE (CARDIOLOGY) in WI
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Provider Addresses for DR. PRAKASH D SHAH (M.D.)
2801, West Kinnickinnic River Parkway, Southgate, Milwaukee, Milwaukee County, Wisconsin, 53215, United States
STE 840
MILWAUKEE, WI 532153669
Phone: (414) 649-3530
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 28 Open Payments records for all available years, with a total value of $19,118.
Total Amount is formed as General ($19,118) + Research ($0) + Ownership ($0) = $19,118.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($17,411).
Total Amount
$19,118
General + Research + Ownership
Payments
28
Total payment records
General Amount
$19,118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Pharmaceuticals, Inc | $17,411 |
| Medtronic, Inc. | $1,479 |
| AstraZeneca Pharmaceuticals LP | $189 |
| iRhythm Technologies, Inc. | $39 |
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: 2004-03-18
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 |
|---|---|---|---|---|
| I20040318001000 | I | Cardiovascular Disease (Cardiology) | WI | 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 |
|---|---|---|---|---|
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 4,418 | 2,477 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2,346 | 1,674 | $0 |
| 93793 | Anticoagulant management of patient taking warfarin | 1,221 | 157 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 757 | 343 | $0 |
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 468 | 458 | $0 |
Insurance plans in this area (ZIP 53215)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | WI | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 29 | 29 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | WI | 85610 | Blood test, clotting time | 1213 | 178 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | WI | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 3759 | 2189 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | IL | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH |
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