Nirav Shah, MD, MPH
NPI 1023148731 · Gastroenterology Physician · Wyomissing, PA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirav Shah, MD, MPH is a Gastroenterology Physician provider in Wyomissing, PA (NPI 1023148731).
Provider details
- NPI number
- 1023148731
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, MPH
- Sex
- Male
- Sole proprietor
- No
- License
- MD442736 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
609 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 138 | $68 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 84 | $121 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 70 | $239 |
| Ultrasound Exam of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43259 | 50 | $202 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 48 | $124 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 12 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 241 | 83 |
| Pantoprazole Sodium | 130 | 35 |
| Esomeprazole Magnesium | 34 | — |
| Linaclotidebrand: Linzess | 22 | — |
| Lipase/Protease/Amylasebrand: Creon | 15 | — |
| Dexlansoprazolebrand: Dexlansoprazole Dr | 14 | — |
| Famotidine | 12 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$13,492 across 47 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2014-02-19
Frequently asked questions
- What is Nirav Shah's NPI number?
- Nirav Shah's National Provider Identifier (NPI) is 1023148731, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nirav Shah's specialty?
- Nirav Shah is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Nirav Shah located?
- Nirav Shah's practice location on file with NPPES is 1011 Reed Ave, Wyomissing, PA 19610-2002.
- What is Nirav Shah's phone number?
- The practice phone number listed in the NPPES registry for Nirav Shah is (610) 374-4401.
- Does Nirav Shah accept Medicare?
- Nirav Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nirav Shah's NPI active?
- Yes — Nirav Shah's NPI (1023148731) is active in the NPPES registry as of the last update on 2014-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.