Rupal Shah, MD
NPI 1396937264 · Pulmonary Disease Physician · Philadelphia, PA
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rupal Shah, MD is a Pulmonary Disease Physician provider in Philadelphia, PA (NPI 1396937264).
Provider details
- NPI number
- 1396937264
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD436473 (PA)
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
18 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
596 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 High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 141 | $162 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 139 | $132 |
| 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 | 108 | $19 |
| Use of a Drug to Induce Depression of Consciousness By Physician Performing a Procedure (5 Years Or Older), Initial 15 Minutes99152 | 41 | $13 |
| Irrigation and Suction of Lung Airways to Obtain Cells Using an Endoscope31624 | 38 | $13 |
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 | 181 | 47 |
| Azithromycin | 148 | 42 |
| Tacrolimus | 126 | 30 |
| Valganciclovir Hcl | 105 | 24 |
| Fluconazole | 101 | 25 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 99 | 24 |
| Omeprazole | 89 | 22 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$794 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
Registry dates
- Enumerated
- 2007-08-15
- Last updated
- 2013-02-08
Frequently asked questions
- What is Rupal Shah's NPI number?
- Rupal Shah's National Provider Identifier (NPI) is 1396937264, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rupal Shah's specialty?
- Rupal Shah is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Rupal Shah located?
- Rupal Shah's practice location on file with NPPES is 3400 Civic Center Blvd, Philadelphia, PA 19104-5127.
- What is Rupal Shah's phone number?
- The practice phone number listed in the NPPES registry for Rupal Shah is (215) 662-3202.
- Does Rupal Shah accept Medicare?
- Rupal Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rupal Shah's NPI active?
- Yes — Rupal Shah's NPI (1396937264) is active in the NPPES registry as of the last update on 2013-02-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.