NPI Details
DR. Hirenkumar N Shah, MD is an internal medicine in Frederick, MD with 36 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Hirenkumar N Shah, MD NPI is 1093742801. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
65 THOMAS JOHNSON DR
SUITE C
FREDERICK, MD
ZIP 21702-371
Phone: (301) 663-3836
Fax: (301) 663-0122
The NPI 1093742801 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Injection, denosumab, 1 mg (HCPCS:J0897)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Annual depression screening, 15 minutes (HCPCS:G0444)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Automated urinalysis test (HCPCS:81003)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Hemoglobin a1c level (HCPCS:83036)
- Vitamin d-3 level (HCPCS:82306)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
- Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg (HCPCS:J3420)
- Stool analysis for blood, by fecal hemoglobin determination by immunoassay (HCPCS:82274)
- Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
- Iron level (HCPCS:83540)
- Iron binding capacity (HCPCS:83550)
- Ferritin (blood protein) level (HCPCS:82728)
- Blood test, clotting time (HCPCS:85610)
- Thyroid hormone, t3 measurement, free (HCPCS:84481)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Liver enzyme (sgpt), level (HCPCS:84460)
- Liver enzyme (sgot), level (HCPCS:84450)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
- Telephone medical discussion with physician, 5-10 minutes (HCPCS:99441)
- Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected (HCPCS:0241U)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Administration of vaccine (HCPCS:90471)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Urine microalbumin (protein) level (HCPCS:82043)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Psa (prostate specific antigen) measurement, total (HCPCS:84153)
- Magnesium level (HCPCS:83735)
- Transitional care management services for problem of high complexity (HCPCS:99496)
- Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Urea nitrogen level to assess kidney function, quantitative (HCPCS:84520)
- Blood creatinine level (HCPCS:82565)
- Calcium level, total (HCPCS:82310)
- Blood chloride level (HCPCS:82435)
- Blood glucose (sugar) level (HCPCS:82947)
- Blood potassium level (HCPCS:84132)
- Blood sodium level (HCPCS:84295)
- Hospital discharge day management, 30 minutes or less (HCPCS:99238)
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
- 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 (HCPCS:G0180)
- Albumin (protein) level (HCPCS:82040)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
- Bilirubin level, total (HCPCS:82247)
- Total protein level, blood (HCPCS:84155)
- Phosphatase (enzyme) level, alkaline (HCPCS:84075)
- Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic (HCPCS:G2252)
- Removal of impacted ear wax (HCPCS:69210)
- Physician or allowed practitioner re-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 a (HCPCS:G0179)
- Parathormone (parathyroid hormone) level (HCPCS:83970)
- Uric acid level, blood (HCPCS:84550)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Pneumococcal vaccine, 13-valent (HCPCS:90670)
- Advance care planning, first 30 minutes (HCPCS:99497)
- Diphtheria and tetanus vaccine (7 years or older) (HCPCS:90714)
- Hospital discharge day management, more than 30 minutes (HCPCS:99239)
- Initial hospital observation care per day, typically 70 minutes (HCPCS:99220)
- Kidney function blood test panel (HCPCS:80069)
- Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
- Telephone medical discussion with physician, 21-30 minutes (HCPCS:99443)
- Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique (HCPCS:87651)
The enumeration date for this NPI number is 6/27/2006 and was last updated on 11/15/2010.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | D51643 | MARYLAND | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | K935397W | OTHER | MARYLAND | MEDICARE ID |
| 2 | G76034 | MEDICARE UPIN | MARYLAND | |
| 3 | K935 | MEDICARE PIN | MARYLAND | |
| 4 | 110201550 | MEDICARE PIN | MARYLAND | |