Sapan Shah, M.D.
NPI 1134650989 · Orthopaedic Surgery Physician · Upper Marlboro, MD
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Sapan Shah, M.D. is a Orthopaedic Surgery Physician provider in Upper Marlboro, MD (NPI 1134650989).
Provider details
- NPI number
- 1134650989
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A176139 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
5 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
12 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) |
|---|---|---|
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 12 | $143 |
Typical Medicare-allowed amounts for these services range $143–$143 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$323 across 9 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
Additional practice locations (4)
- 444 S San Vicente Blvd Ste 603Los Angeles, CA 90048-4178Phone: (310) 423-4566Fax: (310) 423-9958
- 1740 W Taylor StChicago, IL 60612-7232Phone: (866) 600-2273
- 21481 N Rand Rd Fl 2Kildeer, IL 60047-3061Phone: (847) 866-7846Fax: (847) 618-0676
- 1775 Dempster StPark Ridge, IL 60068-1143Phone: (847) 723-7200
Registry dates
- Enumerated
- 2017-03-23
- Last updated
- 2025-12-03
- Certified
- 2025-12-03
Frequently asked questions
- What is Sapan Shah's NPI number?
- Sapan Shah's National Provider Identifier (NPI) is 1134650989, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sapan Shah's specialty?
- Sapan Shah is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Sapan Shah located?
- Sapan Shah's practice location on file with NPPES is 901 Harry S Truman Dr N, Upper Marlboro, MD 20774-5477.
- What is Sapan Shah's phone number?
- The practice phone number listed in the NPPES registry for Sapan Shah is (240) 677-3000.
- Does Sapan Shah accept Medicare?
- Sapan Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Sapan Shah's NPI active?
- Yes — Sapan Shah's NPI (1134650989) is active in the NPPES registry as of the last update on 2025-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.