Suma Shah, M.D.
NPI 1053654699 · Neurology Physician · Durham, NC
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Suma Shah, M.D. is a Neurology Physician provider in Durham, NC (NPI 1053654699).
Provider details
- NPI number
- 1053654699
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 2017-01041 (NC)
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
13 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
239 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) |
|---|---|---|
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 68 | $15 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 53 | $166 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 26 | $15 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 24 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 21 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 19 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 49 | 16 |
| Baclofen | 47 | 14 |
| Galcanezumab-Gnlmbrand: Emgality Pen | 35 | — |
| Duloxetine Hcl | 33 | — |
| Donepezil Hcl | 29 | — |
| Pregabalin | 25 | — |
| Quetiapine Fumarate | 22 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$300 across 3 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
- 2013-04-02
- Last updated
- 2018-08-29
Frequently asked questions
- What is Suma Shah's NPI number?
- Suma Shah's National Provider Identifier (NPI) is 1053654699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Suma Shah's specialty?
- Suma Shah is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Suma Shah located?
- Suma Shah's practice location on file with NPPES is 2301 Erwin Rd, Durham, NC 27705.
- What is Suma Shah's phone number?
- The practice phone number listed in the NPPES registry for Suma Shah is (919) 684-8111.
- Does Suma Shah accept Medicare?
- Suma Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Suma Shah's NPI active?
- Yes — Suma Shah's NPI (1053654699) is active in the NPPES registry as of the last update on 2018-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.