Hirenkumar Shah, MD
NPI 1093742801 · Internal Medicine Physician · Frederick, MD
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hirenkumar Shah, MD is a Internal Medicine Physician provider in Frederick, MD (NPI 1093742801).
Provider details
- NPI number
- 1093742801
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- D51643 (MD)
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
7,325 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,903 | $97 |
| 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 | 770 | $17 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 606 | $80 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 549 | $139 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 537 | $83 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 151 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 669 | 184 |
| Amlodipine Besylate | 499 | 142 |
| Levothyroxine Sodium | 451 | 130 |
| Rosuvastatin Calcium | 409 | 123 |
| Losartan Potassium | 370 | 114 |
| Metoprolol Succinate | 344 | 106 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$834 across 43 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
- 2006-06-27
- Last updated
- 2010-11-15
Frequently asked questions
- What is Hirenkumar Shah's NPI number?
- Hirenkumar Shah's National Provider Identifier (NPI) is 1093742801, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hirenkumar Shah's specialty?
- Hirenkumar Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hirenkumar Shah located?
- Hirenkumar Shah's practice location on file with NPPES is 65 Thomas Johnson Dr, Frederick, MD 21702-4371.
- What is Hirenkumar Shah's phone number?
- The practice phone number listed in the NPPES registry for Hirenkumar Shah is (301) 663-3836.
- Does Hirenkumar Shah accept Medicare?
- Hirenkumar Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hirenkumar Shah's NPI active?
- Yes — Hirenkumar Shah's NPI (1093742801) is active in the NPPES registry as of the last update on 2010-11-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.