Nirali Shah
NPI 1295397008 · Foot & Ankle Surgery Podiatrist · Erie, PA
Enrolled with Medicare as Practitioner - Podiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nirali Shah is a Foot & Ankle Surgery Podiatrist provider in Erie, PA (NPI 1295397008).
Provider details
- NPI number
- 1295397008
- Entity type
- Individual
- Primary specialty
- Foot & Ankle Surgery PodiatristPodiatric Medicine & Surgery Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- SC007034 (PA)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 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
1,040 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 Fingernails Or Toenails, 6 Or More Nails11721 | 254 | $42 |
| X-Ray of Foot, Minimum of 3 Views73630 | 246 | $32 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 210 | $86 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 121 | $105 |
| Injection of Anesthetic Agent And/Or Steroid Into Other Nerve Or Branch64450 | 36 | $61 |
| Destruction of Skin Growth, 1-14 Growths17110 | 35 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 5 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Fluconazole | 107 | 66 |
| Clotrimazole/Betamethasone Dipbrand: Clotrimazole-Betamethasone | 35 | 24 |
| Imiquimod | 25 | 17 |
| Mupirocin | 23 | 19 |
| Cephalexin | 23 | 22 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,446 across 24 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)
- 5515 Peach StErie, PA 16509-2603Phone: (814) 868-8294
Registry dates
- Enumerated
- 2019-07-01
- Last updated
- 2019-07-01
Frequently asked questions
- What is Nirali Shah's NPI number?
- Nirali Shah's National Provider Identifier (NPI) is 1295397008, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nirali Shah's specialty?
- Nirali Shah is listed in the NPPES registry with a primary specialty of Foot & Ankle Surgery Podiatrist (Podiatric Medicine & Surgery Service Providers).
- Where is Nirali Shah located?
- Nirali Shah's practice location on file with NPPES is 5515 Peach St, Erie, PA 16509-2603.
- What is Nirali Shah's phone number?
- The practice phone number listed in the NPPES registry for Nirali Shah is (814) 868-8294.
- Does Nirali Shah accept Medicare?
- Nirali Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nirali Shah's NPI active?
- Yes — Nirali Shah's NPI (1295397008) is active in the NPPES registry as of the last update on 2019-07-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.