Krupal Shah, MD
NPI 1669601522 · Internal Medicine Physician · Falls Church, VA
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Krupal Shah, MD is a Internal Medicine Physician provider in Falls Church, VA (NPI 1669601522).
Provider details
- NPI number
- 1669601522
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0101261424 (VA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
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
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
6 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
625 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 250 | $84 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 150 | $126 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 97 | $122 |
| Hospital Discharge Day Management, 30 Minutes Or Less99238 | 52 | $86 |
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 43 | $53 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$111 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
Additional practice locations (5)
- 4700 King StAlexandria, VA 22302-4420Phone: (571) 665-6570Fax: (571) 665-6571
- 2740 Prosperity Ave Ste 100Fairfax, VA 22031-4354Phone: (571) 623-3390Fax: (703) 204-9022
- 3300 Gallows RdDepartment of MedicineFalls Church, VA 22042-3307Phone: (703) 776-3582
- 600 Herndon Pkwy Ste 200Herndon, VA 20170-5495Phone: (703) 464-6094Fax: (703) 689-8959
- 211 Gibson St Nw Ste 206Leesburg, VA 20176-2115Phone: (703) 779-5437Fax: (703) 779-1084
Registry dates
- Enumerated
- 2009-07-13
- Last updated
- 2023-11-27
- Certified
- 2020-10-21
Frequently asked questions
- What is Krupal Shah's NPI number?
- Krupal Shah's National Provider Identifier (NPI) is 1669601522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Krupal Shah's specialty?
- Krupal Shah is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Krupal Shah located?
- Krupal Shah's practice location on file with NPPES is 3300 Gallows Rd, Falls Church, VA 22042-3300.
- What is Krupal Shah's phone number?
- The practice phone number listed in the NPPES registry for Krupal Shah is (703) 776-4001.
- Does Krupal Shah accept Medicare?
- Krupal Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Krupal Shah's NPI active?
- Yes — Krupal Shah's NPI (1669601522) is active in the NPPES registry as of the last update on 2023-11-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.