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Dr. Niraj Shah

Family Medicine (Family Medicine Physician)

  • Medicare participating

At a glance

Years since graduation
14
In the NPI registry since
2012
Medicare patients seen, 2024
214

The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. What an NPI is

Education and training

  • 2012Registered with an NPI (national billing number; not a license date)

Medicare’s Care Compare data doesn’t list this clinician’s medical school. Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).

Specialties and state licenses

  • Family Medicine Physician primary
    WI license 64153 · IL license 125.061309

As reported to the NPI registry. To confirm a license is current, check the state medical board.

Map: Family Medicine per capita by county →

Where they work

Hospitals

Medical groups

Hospitals this clinician lists with Medicare, and groups they bill Medicare through (Care Compare). Affiliation doesn’t mean they see patients at every location.

Medicare patients and services

Medicare patients, 2024
214
Services billed
993
Patients’ average age
71
Most frequent Medicare services, 2023
ServiceTimesPatients
Established patient office or other outpatient visit, 30-39 minutes331161
Established patient office or other outpatient visit, 20-29 minutes175118
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit137137
Administration of influenza virus vaccine6564
Influenza vaccine split virus, preservative free6059
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3330
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 and1614
Administration of pneumococcal vaccine1111
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use1111

Medicare fee-for-service only. CMS leaves out services billed for fewer than 11 patients. These figures describe a practice’s Medicare work; they aren’t a measure of quality.

Medicare prescriptions

Prescriptions filled under Medicare Part D, including refills. CMS leaves out drugs prescribed fewer than 11 times.

Payments from drug and device companies

In 2025, 1 companies reported 1 payments worth $49.84 in total to this clinician.

By type
Food and Beverage$49.84

From CMS Open Payments. A payment is not evidence of wrongdoing; many are for consulting, teaching or meals. Clinicians can review and dispute their records with CMS.

Who received the most in Wisconsin →

Other Family Medicine clinicians in Mount Pleasant

Sources

NPI registry (CMS NPPES, November 2026; record last updated August 5, 2024), Medicare Care Compare, Medicare Physician & Other Practitioners (2024), Medicare Part D Prescribers (2024) and Open Payments (2025). Information is self-reported or billed data and may be out of date; call before visiting.

NPI 1326300831. Official NPI registry record (opens in a new tab). Clinicians can correct their information in NPPES; changes appear here after our next monthly update.