Doctor profile · Federal record
Dr. Niraj Shah
Family Medicine Physician (CMS: Family Practice) · Family Medicine Physician · Mount Pleasant, WI
- NPI 1326300831
- Accepts Medicare
- 14 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
8400 Washington Ave
Mount Pleasant, WI 534063735
(262) 884-4000 - Additional location
-
2020 Ogden Ave, Suite 325
Aurora, IL 605045894
(630) 978-4850
fax (630) 978-6865 - Mailing address
-
Po Box 735044
Chicago, IL 606735044
Credentials & registration
- NPI registered
- June 2012 — 14 yrs on file
- Profile last updated
- August 5, 2024
- Year of graduation
- 2012 — 14 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State licenses (2)
- Wisconsin #64153 · Illinois #125.061309
- Medicaid
- WI #100046771
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1326300831. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
839
Distinct HCPCS
9
Medicare allowed
$81,845
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 331 | 161 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 175 | 118 | $86 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 137 | 137 | $121 | |
G0008 |
Administration of influenza virus vaccine | 65 | 64 | $28 | |
90662 |
Influenza vaccine split virus, preservative free | 60 | 59 | $72 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 33 | 30 | $13 | |
G0180 |
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | 16 | 14 | $50 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 11 | 11 | $281 | |
G0009 |
Administration of pneumococcal vaccine | 11 | 11 | $29 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 76. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$27
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Lundbeck LLC | 1 | $27.10 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
3,768
Patients
940
Total drug cost
$50,730
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 594 | 150 | $7,024 |
| Amlodipine Besylate | Generic | 393 | 102 | $2,531 |
| Omeprazole | Generic | 297 | 63 | $3,851 |
| Simvastatin | Generic | 293 | 75 | $3,188 |
| Levothyroxine Sodium | Generic | 277 | 60 | $4,032 |
| Lisinopril | Generic | 255 | 71 | $2,562 |
| Losartan Potassium | Generic | 238 | 60 | $3,340 |
| Albuterol Sulfate Hfa (Albuterol Sulfate) | Brand | 205 | 66 | $6,789 |
| Gabapentin | Generic | 204 | 36 | $5,829 |
| Pantoprazole Sodium | Generic | 198 | 52 | $3,088 |
Hospital affiliations
Frequently asked questions
What is Dr. Niraj Shah's medical specialty?
Dr. Niraj Shah practices Family Medicine Physician in Mount Pleasant, WI.
Where does Dr. Niraj Shah practice?
Dr. Niraj Shah practices at 8400 Washington Ave, Mount Pleasant, WI 534063735. Office phone: 2628844000.
What is Dr. Niraj Shah's NPI?
Dr. Niraj Shah's National Provider Identifier (NPI) is 1326300831, issued by NPPES.
Does Dr. Niraj Shah accept Medicare assignment?
Yes. Dr. Niraj Shah accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Niraj Shah commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.