Pratibha Shah, M.D
NPI 1437141785 · Internal Medicine Physician · Chester, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratibha Shah, M.D is a Internal Medicine Physician provider in Chester, NY (NPI 1437141785).
Provider details
- NPI number
- 1437141785
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- 190497 (NY)
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
20 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
1,694 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 | 178 | $117 |
| 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 | 176 | $17 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 125 | $8 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 103 | $13 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 96 | $8 |
| Hemoglobin A1c Level |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 40 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Rosuvastatin Calcium | 116 | 41 |
| Levothyroxine Sodium | 109 | 30 |
| Amlodipine Besylate | 102 | 25 |
| Losartan Potassium | 87 | 27 |
| Metformin Hcl | 84 | 20 |
| Atorvastatin Calcium | 70 | 20 |
| Omeprazole |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$115 across 6 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
- 2005-08-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Pratibha Shah's NPI number?
- Pratibha Shah's National Provider Identifier (NPI) is 1437141785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratibha Shah's specialty?
- Pratibha Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pratibha Shah located?
- Pratibha Shah's practice location on file with NPPES is 11 West Ave, Chester, NY 10918-1501.
- What is Pratibha Shah's phone number?
- The practice phone number listed in the NPPES registry for Pratibha Shah is (845) 469-6866.
- Does Pratibha Shah accept Medicare?
- Pratibha Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratibha Shah's NPI active?
- Yes — Pratibha Shah's NPI (1437141785) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.