Phalgoon Shah, MD
NPI 1821409319 · Pulmonary Disease Physician · Edgewood, KY
Enrolled with Medicare as Practitioner - Pulmonary Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phalgoon Shah, MD is a Pulmonary Disease Physician provider in Edgewood, KY (NPI 1821409319).
Provider details
- NPI number
- 1821409319
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 53445 (KY)
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
12 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,318 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 | 345 | $73 |
| Critical Care, First 30-74 Minutes99291 | 321 | $199 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 138 | $110 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 123 | $114 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 99 | $161 |
| Test to Determine Lung Volumes Using Sensors94726 | 67 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 20 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Montelukast Sodium | 215 | 67 |
| Fluticasone/Umeclidin/Vilanterbrand: Trelegy Ellipta | 188 | 56 |
| Umeclidinium Brm/Vilanterol Trbrand: Anoro Ellipta | 85 | 23 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 77 | 37 |
| Tiotropium Br/Olodaterol Hclbrand: Stiolto Respimat | 65 | 17 |
| Prednisone | 48 | 24 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$629 across 31 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
Additional practice locations (2)
- 280 Exempla CirLafayette, CO 80026-3370Phone: (303) 338-4545
- 201 Park StBowling Green, KY 42101-1708Phone: (270) 781-5111Fax: (270) 780-0473
Registry dates
- Enumerated
- 2014-05-19
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Frequently asked questions
- What is Phalgoon Shah's NPI number?
- Phalgoon Shah's National Provider Identifier (NPI) is 1821409319, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phalgoon Shah's specialty?
- Phalgoon Shah is listed in the NPPES registry with a primary specialty of Pulmonary Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Phalgoon Shah located?
- Phalgoon Shah's practice location on file with NPPES is 1 Medical Village Dr, Edgewood, KY 41017-3403.
- What is Phalgoon Shah's phone number?
- The practice phone number listed in the NPPES registry for Phalgoon Shah is (859) 757-2927.
- Does Phalgoon Shah accept Medicare?
- Phalgoon Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phalgoon Shah's NPI active?
- Yes — Phalgoon Shah's NPI (1821409319) is active in the NPPES registry as of the last update on 2023-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.