Pratik Shah, M.D.
NPI 1871977793 · Endocrinology, Diabetes & Metabolism Physician · Frederick, MD
Enrolled with Medicare as Practitioner - Endocrinology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pratik Shah, M.D. is a Endocrinology, Diabetes & Metabolism Physician provider in Frederick, MD (NPI 1871977793).
Provider details
- NPI number
- 1871977793
- Entity type
- Individual
- Primary specialty
- Endocrinology, Diabetes & Metabolism PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
10 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,394 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) |
|---|---|---|
| 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 | 421 | $16 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 413 | $126 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 295 | $179 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 170 | $34 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 46 | $217 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 41 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 642 | 194 |
| Metformin Hclbrand: Metformin Hcl Er | 182 | 65 |
| Semaglutidebrand: Ozempic | 181 | 58 |
| Dulaglutidebrand: Trulicity | 122 | 30 |
| Metformin Hcl | 100 | 35 |
| Dapagliflozin Propanediolbrand: Farxiga | 82 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$640 across 7 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 (1)
- 1 Cooper PlzCamden, NJ 08103-1461Phone: (856) 342-2000
Registry dates
- Enumerated
- 2015-07-10
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Frequently asked questions
- What is Pratik Shah's NPI number?
- Pratik Shah's National Provider Identifier (NPI) is 1871977793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pratik Shah's specialty?
- Pratik Shah is listed in the NPPES registry with a primary specialty of Endocrinology, Diabetes & Metabolism Physician (Allopathic & Osteopathic Physicians).
- Where is Pratik Shah located?
- Pratik Shah's practice location on file with NPPES is 7211 Bank Ct, Frederick, MD 21703-8483.
- What is Pratik Shah's phone number?
- The practice phone number listed in the NPPES registry for Pratik Shah is (240) 566-7830.
- Does Pratik Shah accept Medicare?
- Pratik Shah is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Pratik Shah's NPI active?
- Yes — Pratik Shah's NPI (1871977793) is active in the NPPES registry as of the last update on 2020-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.