Raj Shah, MD
NPI 1255727244 · Gastroenterology Physician · Pickerington, OH
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Raj Shah, MD is a Gastroenterology Physician provider in Pickerington, OH (NPI 1255727244).
Provider details
- NPI number
- 1255727244
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD60855945 (WA)
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
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
384 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 75 | $230 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 71 | $95 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 40 | $155 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 34 | $124 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $121 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sodium Chloride/Nahco3/Kcl/Pegbrand: Peg 3350-Electrolyte | 232 | 229 |
| Omeprazole | 90 | 42 |
| Pantoprazole Sodium | 62 | 32 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-G | 42 | 41 |
| Peg3350/Sod Sulf,bicarb,cl/Kclbrand: Gavilyte-C | 16 | 16 |
| Baclofen | 13 | — |
| Linaclotidebrand: Linzess |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$236 across 12 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 (1)
- 3595 Olentangy River RdColumbus, OH 43214-3440Phone: (614) 566-5456Fax: (614) 566-6902
Registry dates
- Enumerated
- 2015-04-07
- Last updated
- 2023-11-06
- Certified
- 2023-11-06
Frequently asked questions
- What is Raj Shah's NPI number?
- Raj Shah's National Provider Identifier (NPI) is 1255727244, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Raj Shah's specialty?
- Raj Shah is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Raj Shah located?
- Raj Shah's practice location on file with NPPES is 1025 Refugee Rd Ste 100a, Pickerington, OH 43147-9861.
- What is Raj Shah's phone number?
- The practice phone number listed in the NPPES registry for Raj Shah is (614) 754-5500.
- Does Raj Shah accept Medicare?
- Raj Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Raj Shah's NPI active?
- Yes — Raj Shah's NPI (1255727244) is active in the NPPES registry as of the last update on 2023-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.