Nirav Shah, MD
NPI 1245491257 · Hematology & Oncology Physician · Milwaukee, WI
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirav Shah, MD is a Hematology & Oncology Physician provider in Milwaukee, WI (NPI 1245491257).
Provider details
- NPI number
- 1245491257
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD445171 (PA)
Specialties & taxonomies
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
18 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
661 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 | 218 | $16 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 148 | $134 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 139 | $92 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 54 | $75 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 49 | $62 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Acyclovir | 141 | 44 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 61 | 18 |
| Prednisone | 33 | 21 |
| Allopurinol | 27 | 15 |
| Ruxolitinib Phosphatebrand: Jakafi | 27 | — |
| Ursodiol | 21 | — |
| Fluconazole | 16 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$30,798 across 35 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
- 2008-06-23
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Frequently asked questions
- What is Nirav Shah's NPI number?
- Nirav Shah's National Provider Identifier (NPI) is 1245491257, 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 Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Nirav Shah located?
- Nirav Shah's practice location on file with NPPES is 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522.
- What is Nirav Shah's phone number?
- The practice phone number listed in the NPPES registry for Nirav Shah is (414) 805-6800.
- 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 (1245491257) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.