Active NPI 1700970811 Individual Practitioner Male Practitioner

Dr. Ajay K Shah , MD

Surgery • Bronx, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Ajay Shah, MD is a certified Surgery practicing in Bronx, NY. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Shah delivers high-quality medical care to the local community at 1685 MORRIS AVENUE.

Dr. Shah is affiliated with Bronxcare Health System and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, initial hospital care with straightforward or low-level medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1685 Morris Avenue

Bronx, NY 10457

Telephone 7189601250

Fax 7189601230

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Bronx, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +23.9 yrs vs City Avg

City Avg: 23.1 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

113 Specialists

Practicing in Bronx, NY (2269 Statewide)

Telehealth Adoption Rate

4.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (47 Years) 47 Yrs

Bronx Specialty Average (23.1 Years) 23.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$184.75	$73.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$382.00	$150.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	12	$402.00	$159.29
99213 Established patient office or other outpatient visit, typically 15 minutes	13	11	$200.00	$78.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	13	$282.67	$113.02
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$200.07	$80.35
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$106.73	$42.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$153.00	$61.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	15	$79.00	$31.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	48	36	$148.02	$58.92
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	17	$211.00	$83.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	27	$75.00	$29.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	13	$228.00	$90.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$398.00	$158.60
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$149.00	$59.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	40	34	$149.00	$58.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$75.00	$29.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	33	$148.00	$58.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	19	$227.00	$89.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	21	$74.00	$29.32
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	13	$215.26	$82.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$373.67	$157.33
99202 New patient office or other outpatient visit, typically 20 minutes	12	11	$148.00	$58.43

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 176519

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

01277063 (NY)

Hospital & Practice Group Affiliations

Bronxcare Health System

1650 Grand Concourse, Bronx, NY 104577606

Phone: 7189927669

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Hanasoge Girishkumar , MD

Surgery - Vascular Surgery

NPI 1376641167

Doctor of Medicine (M.D.)

Dr. Pituck Ungsunan , MD

Surgery

NPI 1689753543

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1685 MORRIS AVENUE, BRONX, NY 10457 (Tel: 7189601250)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1650 SELWYN AVENUE, SUITE # 4-G, BRONX, NY 104577628 (Tel: 7189601250)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as AJAY SHAH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #176519 in NY)

🟢

Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1700970811

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 03, 2006

Last Update: July 08, 2007

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1650 Selwyn Avenue, Suite # 4-G

Bronx, NY 104577628

Phone: 7189601250

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.