Isha Shah, M.D.
NPI 1326490699 · Rheumatology Physician · Warwick, RI
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Isha Shah, M.D. is a Rheumatology Physician provider in Warwick, RI (NPI 1326490699).
Provider details
- NPI number
- 1326490699
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- LP03797 (RI)
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
9 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
581 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 | 202 | $97 |
| 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 | 168 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 54 | $97 |
| 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 | 50 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 27 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 353 | 115 |
| Hydroxychloroquine Sulfate | 309 | 110 |
| Methotrexate Sodiumbrand: Methotrexate | 286 | 80 |
| Allopurinol | 162 | 36 |
| Alendronate Sodium | 145 | 54 |
| Meloxicam | 99 | 38 |
| Etanerceptbrand: Enbrel Sureclick | 90 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$252 across 3 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)
- 111 Brewster StPawtucket, RI 02860-4474Phone: (401) 729-2258Fax: (401) 729-3343
Registry dates
- Enumerated
- 2016-07-11
- Last updated
- 2024-08-30
- Certified
- 2024-08-30
Frequently asked questions
- What is Isha Shah's NPI number?
- Isha Shah's National Provider Identifier (NPI) is 1326490699, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Isha Shah's specialty?
- Isha Shah is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Isha Shah located?
- Isha Shah's practice location on file with NPPES is 455 Toll Gate Rd, Warwick, RI 02886-2759.
- What is Isha Shah's phone number?
- The practice phone number listed in the NPPES registry for Isha Shah is (401) 681-2858.
- Does Isha Shah accept Medicare?
- Isha Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Isha Shah's NPI active?
- Yes — Isha Shah's NPI (1326490699) is active in the NPPES registry as of the last update on 2024-08-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.