Niraj Shah, M.D.
NPI 1386968022 · Ophthalmology Physician · Toledo, OH
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Niraj Shah, M.D. is a Ophthalmology Physician provider in Toledo, OH (NPI 1386968022).
Provider details
- NPI number
- 1386968022
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35123889 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 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
6,851 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) |
|---|---|---|
| Imaging of Retina92134 | 2,694 | $39 |
| Injection of Drug Into Eye67028 | 1,511 | $121 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 1,049 | $125 |
| Photography of the Retina92250 | 534 | $35 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 473 | $87 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 239 | $164 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisolone Acetate | 298 | 154 |
| Polymyxin B Sulf/Trimethoprimbrand: Polymyxin B Sul-Trimethoprim | 120 | 101 |
| Latanoprost | 115 | 42 |
| Dorzolamide Hcl/Timolol Maleatbrand: Dorzolamide-Timolol | 100 | 37 |
| Brimonidine Tartrate | 63 | 20 |
| Ketorolac Tromethamine | 55 | 21 |
| Timolol Maleate | 43 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,498 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
- 2010-03-24
- Last updated
- 2023-11-03
Frequently asked questions
- What is Niraj Shah's NPI number?
- Niraj Shah's National Provider Identifier (NPI) is 1386968022, 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 Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Niraj Shah located?
- Niraj Shah's practice location on file with NPPES is 2865 N Reynolds Rd, Toledo, OH 43615-2068.
- What is Niraj Shah's phone number?
- The practice phone number listed in the NPPES registry for Niraj Shah is (419) 578-2020.
- 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 (1386968022) is active in the NPPES registry as of the last update on 2023-11-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.