Mital Shah, M.D.
NPI 1194111765 · Nephrology Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mital Shah, M.D. is a Nephrology Physician provider in Philadelphia, PA (NPI 1194111765).
Provider details
- NPI number
- 1194111765
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 25MA11359900 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 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
740 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 392 | $107 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 109 | $133 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 109 | $179 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 91 | $96 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 23 | $133 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 22 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 137 | 57 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 49 | 17 |
| Pantoprazole Sodium | 49 | 14 |
| Valganciclovir Hcl | 41 | 18 |
| Tacrolimus | 38 | — |
| Nifedipinebrand: Nifedipine Er | 35 | 14 |
| Amlodipine Besylate | 35 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$168 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
Registry dates
- Enumerated
- 2015-04-10
- Last updated
- 2024-04-09
- Certified
- 2024-04-09
Frequently asked questions
- What is Mital Shah's NPI number?
- Mital Shah's National Provider Identifier (NPI) is 1194111765, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mital Shah's specialty?
- Mital Shah is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Mital Shah located?
- Mital Shah's practice location on file with NPPES is 3400 Spruce St, Philadelphia, PA 19104-4405.
- What is Mital Shah's phone number?
- The practice phone number listed in the NPPES registry for Mital Shah is (215) 662-2638.
- Does Mital Shah accept Medicare?
- Mital Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mital Shah's NPI active?
- Yes — Mital Shah's NPI (1194111765) is active in the NPPES registry as of the last update on 2024-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.