Riddhishkumar Shah, MD PHD
NPI 1417184235 · Internal Medicine Physician · Raleigh, NC
Enrolled with Medicare as Practitioner - Medical Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riddhishkumar Shah, MD PHD is a Internal Medicine Physician provider in Raleigh, NC (NPI 1417184235).
Provider details
- NPI number
- 1417184235
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- No
- License
- 157263 (NC)
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 tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
532 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 189 | $135 |
| 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 | 177 | $15 |
| 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 | 66 | $15 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 60 | $136 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Oxycodone Hcl | 16 |
| Prednisone | 11 |
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.
Practice location
Mailing address
Additional practice locations (2)
- 1900 Kildaire Farm RdHospitalist OfficeCary, NC 27518-6616Phone: (919) 350-1965
- 216 Ashville Ave Ste 20Cary, NC 27518-6679Phone: (919) 781-7070
Registry dates
- Enumerated
- 2009-06-18
- Last updated
- 2019-07-01
Frequently asked questions
- What is Riddhishkumar Shah's NPI number?
- Riddhishkumar Shah's National Provider Identifier (NPI) is 1417184235, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Riddhishkumar Shah's specialty?
- Riddhishkumar Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Riddhishkumar Shah located?
- Riddhishkumar Shah's practice location on file with NPPES is 3404 Wake Forest Rd, Raleigh, NC 27609.
- What is Riddhishkumar Shah's phone number?
- The practice phone number listed in the NPPES registry for Riddhishkumar Shah is (919) 862-5400.
- Does Riddhishkumar Shah accept Medicare?
- Riddhishkumar Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Riddhishkumar Shah's NPI active?
- Yes — Riddhishkumar Shah's NPI (1417184235) 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.