Niraj Shah
NPI 1326300831 · Family Medicine Physician · Mount Pleasant, WI
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Shah is a Family Medicine Physician provider in Mount Pleasant, WI (NPI 1326300831).
Provider details
- NPI number
- 1326300831
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 125.061309 (IL)
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
14 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
785 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 345 | $119 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 139 | $85 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 135 | $117 |
| Administration of Influenza Virus VaccineG0008 | 54 | $30 |
| Initial Preventive Physical Examination; Face-To-Face Visit, Services Limited to New Beneficiary During the First 12 Months of Medicare EnrollmentG0402 | 20 | $155 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 135 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 697 | 187 |
| Amlodipine Besylate | 416 | 110 |
| Levothyroxine Sodium | 309 | 65 |
| Lisinopril | 293 | 84 |
| Pantoprazole Sodium | 274 | 65 |
| Simvastatin | 269 | 68 |
| Omeprazole | 239 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$27 across 1 record (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)
- 2020 Ogden AveSuite 325Aurora, IL 60504-5894Phone: (630) 978-4850Fax: (630) 978-6865
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2024-08-05
- Certified
- 2024-08-05
Frequently asked questions
- What is Niraj Shah's NPI number?
- Niraj Shah's National Provider Identifier (NPI) is 1326300831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Niraj Shah's specialty?
- Niraj Shah is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Shah located?
- Niraj Shah's practice location on file with NPPES is 8400 Washington Ave, Mount Pleasant, WI 53406-3735.
- What is Niraj Shah's phone number?
- The practice phone number listed in the NPPES registry for Niraj Shah is (262) 884-4000.
- Does Niraj Shah accept Medicare?
- Niraj Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Niraj Shah's NPI active?
- Yes — Niraj Shah's NPI (1326300831) is active in the NPPES registry as of the last update on 2024-08-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.