Niraj Shah, - Medicare Family Practice in Mount Pleasant, WI

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Niraj Shah, is a medicare enrolled "Family Medicine" physician in Mount Pleasant, Wisconsin. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Aurora Medical Group, Inc. and his current practice location is 8400 Washington Ave, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 884-4000.

Niraj Shah is licensed to practice in Wisconsin (license number 64153) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326300831.

Contact Information

Niraj Shah,
8400 Washington Ave,
Mount Pleasant, WI 53406-3735
(262) 884-4000
Not Available

Map and Direction




Physician's Profile

Full NameNiraj Shah
GenderMale
SpecialityFamily Practice
Experience12 Years
Location8400 Washington Ave, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Niraj Shah graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1326300831
  • Provider Enumeration Date: 06/11/2012
  • Last Update Date: 08/05/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8820302938
  • Enrollment ID: I20150803002853

Medical Identifiers

Medical identifiers for Niraj Shah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326300831NPI-NPPES
100046771MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 125.061309 (Illinois)Secondary
207Q00000XFamily Medicine 64153 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Aurora At HomeMilwaukee, WIHome health agency
Aurora Medical Center KenoshaKenosha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aurora Medical Group, Inc.67097942583269

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Niraj Shah allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Niraj Shah is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Niraj Shah,
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Niraj Shah,
8400 Washington Ave,
Mount Pleasant, WI 53406-3735

Ph: (262) 884-4000

Reviews and Comments


Family Medicine Doctors in Mount Pleasant, WI

Ms. Priya Ramdass, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-321-3000    Fax: 262-321-3011
Amy P Kelly, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-321-3000    
Dr. Angelo B Reyes, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 5801 Washington Ave, Ste 99, Mount Pleasant, WI 53406
Phone: 913-359-6001    Fax: 913-359-5552
Michael Pothen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Victoria C Quinn, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8400 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Christopher Vincent Cataldi, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    
Dr. Mathew Pothen, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 8348 Washington Ave, Mount Pleasant, WI 53406
Phone: 262-884-4000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.