DR. MAHENDRA SHAH M.D.
NPI 1427075035
Pediatrics - Pediatric Gastroenterology in Richmond, VA
NPI Status: Active since July 17, 2006
Contact Information
1250 E MARSHALL ST
RICHMOND, VA
ZIP 23298
Phone: (804) 828-9111
Fax: (894) 828-0139
- Individual
- Male
- Pediatrics
- Pediatric Gastroenterology
- Accepts Insurance
- PECOS Enrolled
About MAHENDRA SHAH
This page provides the complete NPI Profile along with additional information for Mahendra Shah, a pediatrician established in Richmond, Virginia with a medical specialization in Pediatrics, focusing in pediatric gastroenterology . The healthcare provider is registered in the NPI registry with number 1427075035 assigned on July 2006. The practitioner's primary taxonomy code is 2080P0206X with license number M2800 (TX). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1427075035
- Provider Name
- DR. MAHENDRA SHAH M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1250 E MARSHALL ST RICHMOND, VA 23298
- Location Phone
- (804) 828-9111
- Location Fax
- (894) 828-0139
- Mailing Address
- PO BOX 91734 RICHMOND, VA 23291
- Mailing Phone
- (804) 358-6100
- Mailing Fax
- (894) 828-0139
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-17-2006
- Last Update Date
- 10-18-2012
- Code Navigator
A pediatrician like Mahendra Shah is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Pediatric Gastroenterology
- Taxonomy Code
- 2080P0206X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- M2800
- License State
- TX
- Taxonomy Description
- A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 0101-045906 (VA) |
| 2 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 27118 (SC) |
| 3 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 35.079426 (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 12 - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Mahendra Shah is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 23298 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $129.04
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $32.26
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 0 | 7 | 5 | 0 | 3 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 7 | 10 | 0 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 7 + 1 + 0 + 0 + 6 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1427075035 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1972508950 | LISA L ELLIS M.D. Individual | Internal Medicine | 1250 E MARSHALL ST OB/GYN RICHMOND, VA 23298 (804) 560-8950 |
| 1154329886 | JAMES L EVANS MD Individual | Psychiatry & Neurology (Psychiatry) | 1250 E MARSHALL ST PSYCHIATRY RICHMOND, VA 23298 (804) 828-3129 |
| 1437159316 | ANTHONY D CASSANO M.D. Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1250 E MARSHALL ST SURGERY RICHMOND, VA 23298 (804) 828-4620 |
| 1912908922 | MR. STEVEN S RABINOWITZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1250 E MARSHALL ST ANESTHESIA CRNA RICHMOND, VA 23298 (804) 628-6990 |
| 1780679688 | ROBERT GLASSER MD Individual | Internal Medicine (Hematology) | 1250 E MARSHALL ST INTERNAL MEDICINE RICHMOND, VA 23298 (804) 828-6938 |
| 1154316016 | STEVEN HOVIS CROSSMAN MD Individual | Family Medicine | 1250 E MARSHALL ST FAMILY MEDICINE RICHMOND, VA 23298 (804) 828-5883 |
| 1912981093 | DEBRA GADDY COHEN NP Individual | Nurse Practitioner (Pediatrics) | 1250 E MARSHALL ST PEDIATRICS RICHMOND, VA 23298 (804) 828-9605 |
| 1124002894 | NAN G. O'CONNELL M.D. Individual | Specialist | 1250 E MARSHALL ST OB/GYN RICHMOND, VA 23298 (804) 560-8950 |
| 1023096195 | DR. PONJOLA CONEY M.D. Individual | Obstetrics & Gynecology | 1250 E MARSHALL ST OB/GYN RICHMOND, VA 23298 (804) 828-4409 |
| 1104804129 | PATRICIA MARIE SELIG N.P. Individual | Nurse Practitioner (Family) | 1250 E MARSHALL ST MAIN HOSPITAL NURSING ADMINISTRATION RICHMOND, VA 23298 (804) 828-4928 |
| 1679552533 | MARTHA PURVIS NP Individual | Nurse Practitioner (Family) | 1250 E MARSHALL ST INTERNAL MEDICINE RICHMOND, VA 23298 (804) 828-5306 |
| 1063487437 | ANNA K NIZINSKI NP Individual | Nurse Practitioner | 1250 E MARSHALL ST SURGERY RICHMOND, VA 23298 (804) 828-9726 |
| 1225004369 | DR. SALIM A DAHLVANI MD Individual | Psychiatry & Neurology (Geriatric Psychiatry) | 1250 E MARSHALL ST PSYCHIATRY RICHMOND, VA 23298 (804) 828-4570 |
| 1073581963 | MACIEJ TYMOWSKI MD Individual | Emergency Medicine | 1250 E MARSHALL ST EMERGENCY DEPARTMENT RICHMOND, VA 23298 (804) 828-7738 |
| 1356300552 | MR. LANCE J HAMPTON M.D. Individual | Urology | 1250 E MARSHALL ST SURGERY RICHMOND, VA 23298 (804) 828-8146 |
| 1871555680 | DR. RACHEL R WALLER M.D. Individual | Internal Medicine | 1250 E MARSHALL ST INTERNAL MEDICINE RICHMOND, VA 23298 (804) 828-9357 |
| 1336104033 | DR. MARGARET M SANDERS M.D. Individual | Radiology (Diagnostic Radiology) | 1250 E MARSHALL ST RADIOLOGY-DIAGNOSTIC RADIOLOGY RICHMOND, VA 23298 (804) 828-6600 |
| 1780642843 | MS. KELLY B GRIFFIN NP Individual | Nurse Practitioner (Adult Health) | 1250 E MARSHALL ST ORTHOPAEDIC SURGERY RICHMOND, VA 23298 (804) 560-8945 |
| 1871541458 | ANDREW LAWRENCE YALE PA-C Individual | Physician Assistant (Surgical) | 1250 E MARSHALL ST SURGERY RICHMOND, VA 23298 (804) 828-4620 |
| 1912957531 | KIMBERLY W. SANFORD MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 1250 E MARSHALL ST PATHOLOGY RICHMOND, VA 23298 (804) 828-9746 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427075035, enumerated in the NPI registry as an "individual" on July 17, 2006
The provider is located at 1250 E Marshall St Richmond, Va 23298 and the phone number is (804) 828-9111
The provider's speciality is Pediatrics with taxonomy code 2080P0206X with a focus in Pediatric Gastroenterology
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $129.04 with an average copayment of $32.26 for new patient appointments. Established patients should expect a typical charge of $99.13 and an average copayment of 24.78. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 17, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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