Active NPI 1992004642 Individual Practitioner Male Practitioner

Dr. Kshitij Shah , MD

Internal Medicine • Austin, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Kshitij Shah, MD is a certified Internal Medicine practicing in Austin, TX. With approximately 21 years of clinical experience since completing medical education in 2005, Dr. Shah delivers high-quality medical care to the local community at 12221 N MOPAC EXPY.

Dr. Shah is affiliated with The Austin Diagnostic Clinic Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of 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

12221 N Mopac Expy

Austin, TX 787582401

Telephone 5129014009

Fax 5129013909

Associated Practice Facility / Clinic

🏢 Austin Pathology Associates Facility NPI 1669414330

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Austin, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +0.2 yrs vs City Avg

City Avg: 20.8 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

620 Specialists

Practicing in Austin, TX (9538 Statewide)

Telehealth Adoption Rate

16.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (21 Years) 21 Yrs

Austin Specialty Average (20.8 Years) 20.8 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	311	126	$207.64	$115.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	232	96	$146.57	$76.45
99239 Hospital discharge day management, more than 30 minutes	148	136	$213.86	$112.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	72	65	$410.36	$169.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	337	139	$141.00	$78.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	290	131	$202.00	$118.51
99239 Hospital discharge day management, more than 30 minutes	162	145	$205.00	$113.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	84	$393.00	$173.00
99497 Advance care planning, first 30 minutes	12	12	$162.00	$75.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	480	200	$202.00	$99.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	344	162	$141.00	$69.39
99239 Hospital discharge day management, more than 30 minutes	171	158	$205.00	$105.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	93	$393.00	$192.59
99291 Critical care, first 30-74 minutes	22	22	$441.00	$208.58
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	19	11	$173.00	$87.29
99217 Hospital observation care on day of discharge	11	11	$140.00	$71.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	666	249	$202.00	$102.55
99239 Hospital discharge day management, more than 30 minutes	239	212	$205.00	$106.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	230	120	$141.00	$71.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	92	$393.00	$198.02
99291 Critical care, first 30-74 minutes	26	24	$441.00	$217.20
99220 Hospital observation care, typically 70 minutes	25	25	$304.00	$180.65
99217 Hospital observation care on day of discharge	18	18	$140.00	$72.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	548	219	$202.00	$105.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	316	159	$141.00	$73.41
99239 Hospital discharge day management, more than 30 minutes	243	217	$205.00	$108.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	80	76	$393.00	$202.88
99217 Hospital observation care on day of discharge	23	23	$140.00	$72.61
99291 Critical care, first 30-74 minutes	17	17	$441.00	$224.84
99220 Hospital observation care, typically 70 minutes	16	16	$304.00	$181.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	868	292	$141.00	$72.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	329	149	$202.00	$104.18
99239 Hospital discharge day management, more than 30 minutes	232	206	$205.00	$107.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	89	$393.00	$202.16
99291 Critical care, first 30-74 minutes	23	22	$441.00	$213.72
99220 Hospital observation care, typically 70 minutes	22	22	$304.00	$186.97
99217 Hospital observation care on day of discharge	15	15	$140.00	$73.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$268.00	$132.49
99238 Hospital discharge day management, 30 minutes or less	12	12	$140.00	$73.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,122	294	$122.37	$71.72
99239 Hospital discharge day management, more than 30 minutes	220	203	$177.09	$106.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	215	112	$181.27	$103.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	132	123	$342.98	$198.27
99217 Hospital observation care on day of discharge	20	20	$126.79	$72.99
99291 Critical care, first 30-74 minutes	16	16	$386.61	$220.59
99220 Hospital observation care, typically 70 minutes	15	15	$273.01	$185.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	911	255	$73.02	$71.49
99239 Hospital discharge day management, more than 30 minutes	164	150	$109.04	$106.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	127	$204.65	$200.20
99220 Hospital observation care, typically 70 minutes	30	28	$192.76	$166.34
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	15	$105.23	$103.55
99238 Hospital discharge day management, 30 minutes or less	24	24	$73.37	$72.20
99291 Critical care, first 30-74 minutes	18	18	$224.44	$215.10

Medical Specialties & State Licenses

CMS Verified: 2021-02-26

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX Q4280

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.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA09601100

Hospitalist

NUCC Taxonomy Code: 208M00000X

State License TX Q4280

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Internal Medicine

NUCC Taxonomy Code: 207R00000X

State License NY 276756

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

362544401 (TX)

Hospital & Practice Group Affiliations

The Austin Diagnostic Clinic Pllc

1201 W Louis Henna Blvd, Austin, TX 786812301

Phone: 5122487000

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582483

Phone: 5129011111

The Austin Diagnostic Clinic Pllc

1330 Wonder World Dr, San Marcos, TX 786667567

Phone: 5128050680

The Austin Diagnostic Clinic Pllc

4681 College Park Dr, Round Rock, TX 786651526

Phone: 5126711100

The Austin Diagnostic Clinic Pllc

2400 Round Rock Ave, Round Rock, TX 786814004

Phone: 5123415173

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129012530

The Austin Diagnostic Clinic Pllc

12221 N Mopac Expy, Austin, TX 787582401

Phone: 5129012530

The Austin Diagnostic Clinic Pllc

4681 College Park, Round Rock, TX 786651526

Phone: 5126711100

Practice Associates & Co-Workers

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

28 Associated Practitioners

Dr. Paula Starche , MD

Internal Medicine

NPI 1033176607

Doctor of Medicine (M.D.)

Dr. Anjali Nemawarkar , MD

Internal Medicine

NPI 1093779555

Doctor of Medicine (M.D.)

Dr. Yolanda Clay-Po , MD

Internal Medicine

NPI 1164405833

Doctor of Medicine (M.D.)

Dr. Paul Stansberry , MD

Internal Medicine

NPI 1235196809

Doctor of Medicine (M.D.)

Dr. Malik Merchant , MD

Internal Medicine

NPI 1245238534

Doctor of Medicine (M.D.)

Nancy Dasso , FNP

Nurse Practitioner - Family

NPI 1245287150

Family Nurse Practitioner

Career & Practice History Timeline

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

12 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2021

Internal Medicine (License #25MA09601100 in NJ)

✅

NPI Profile Active April 03, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2017

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

📍

Updated Business Mailing Address April 03, 2017

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

👤

Provider Name / Credentials Updated April 03, 2017

Recorded as KSHITIJ SHAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2017

Internal Medicine (License #25MA09601100 in NJ)

✅

NPI Profile Active September 12, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 12, 2016

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

📍

Updated Business Mailing Address September 12, 2016

Registered at 12221 N MOPAC EXPY, AUSTIN, TX 787582401 (Tel: 5129014009)

👤

Provider Name / Credentials Updated September 12, 2016

Recorded as KSHITIJ SHAH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2016

Internal Medicine (License #Q4280 in TX)

🟢

Initial NPI Registration & Enumeration March 21, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1992004642

Entity Type:

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

Enumeration Date: March 21, 2011

Last Update: February 26, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

12221 N Mopac Expy

Austin, TX 787582401

Phone: 5129014009

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.