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Deactivated NPI 1518959758 Deactivated / Inactive NPI Male Practitioner

Dr. Pankajkumar Gopaldas Shah , MD

Ophthalmology • Mission, TX

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Pankajkumar Shah has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 15, 2005
NPI Deactivation Date March 22, 2006
Total Practice Duration ~17 Years of Practice (1989 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Pankajkumar Shah, MD was a registered Ophthalmology practicing in Mission, TX. Throughout an active medical career spanning 17 years, Dr. Shah provided care at the practice location at 1506 E GRIFFIN PKWY until profile deactivation on 2006-03-22.

Dr. Shah was affiliated with Shah Eye Center Pa and accepted Medicare assignment.

Historical Medicare Part B clinical services included established patient complete exam of visual system, established patient problem focused exam of visual system, new patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1506 E Griffin Pkwy

Mission, TX 78572

Telephone 9565830202
Fax 9565830200
Associated Practice Facility / Clinic
🏢 Shah Eye Center, P.a. Facility NPI 1639114291

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Ophthalmology in Mission, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +2.0 yrs vs City Avg
City Avg: 35.0 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Mission, TX (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
71.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shah (37 Years) 37 Yrs
Mission Specialty Average (35.0 Years) 35.0 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
92014 Established patient complete exam of visual system
213 188 $220.00 $119.53
92012 Established patient problem focused exam of visual system
114 81 $160.00 $84.63
92004 New patient complete exam of visual system
99 99 $260.00 $142.11
66984 Removal of cataract with insertion of lens
92 67 $3000.00 $514.25
92136 Measurement of corneal curvature and depth of eye
86 66 $200.00 $40.38
92134 Imaging of retina
65 63 $110.00 $38.01
92250 Photography of the retina
50 50 $100.00 $35.22
66821 Removal of recurring cataract in lens capsule using a laser
45 32 $570.00 $316.21
92133 Imaging of optic nerve
32 31 $100.00 $34.56
76519 Ultrasound of eye for determination of lens power
19 19 $200.00 $56.87
92083 Exam of visual field with extended testing
18 18 $110.00 $57.21

Medical Specialties & State Licenses

CMS Verified: 2024-06-12
Ophthalmology Primary Specialty

NUCC Taxonomy Code: 207W00000X

State License TX J9336

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
133210806 (TX)
Medicaid State Provider ID
133210809 (TX)

Hospital & Practice Group Affiliations

Shah Eye Center Pa

1506 E Griffin Pkwy, Mission, TX 785722425

Phone: 9565830202

Secondary Practice Locations

5413 N Mccoll Rd

Mcallen, TX 785042206

Phone: 9569941000

8607 Mcpherson Rd Ste 102

Laredo, TX 780456383

Phone: 9567530202

910 E 8th St Ste 9

Weslaco, TX 785964346

Phone: 9568544117

5346 E Us Highway 83 Ste 1

Rio Grande City, TX 785829418

Phone: 9565830202

2100 Village Center Dr

Brownsville, TX 785261119

Phone: 9565830202

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1013688472

Doctor of Optometry

NPI 1053530931

Doctor of Medicine (M.D.)

NPI 1174605257

Doctor of Optometry

NPI 1255733580

Doctor of Optometry

NPI 1578509287

Doctor of Optometry

Dr. Hosam Attia , MD

Ophthalmology - Retina Specialist

NPI 1790955094

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location May 26, 2017

Registered at 1506 E GRIFFIN PKWY, MISSION, TX 78572 (Tel: 9565830202)

📍
Updated Business Mailing Address May 26, 2017

Registered at 1506 E GRIFFIN PKWY, MISSION, TX 78572 (Tel: 9565830202)

👤
Provider Name / Credentials Updated May 26, 2017

Recorded as PANKAJKUMAR SHAH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2017

Ophthalmology (License #J9336 in TX)

📍
Updated Practice Location August 20, 2014

Registered at 1506 E GRIFFIN PKWY, MISSION, TX 78572 (Tel: 9565830202)

📍
Updated Business Mailing Address August 20, 2014

Registered at 1506 E GRIFFIN PKWY, MISSION, TX 78572 (Tel: 9565830202)

👤
Provider Name / Credentials Updated August 20, 2014

Recorded as PANKAJKUMAR SHAH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2014

Ophthalmology (License #J9336 in TX)

🔄
NPI Profile Reactivated April 03, 2006

Record officially reactivated for active practice on April 03, 2006

⚠️
NPI Profile Deactivated March 22, 2006

Record deactivated on March 22, 2006

🟢
Initial NPI Registration & Enumeration August 15, 2005

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: 1518959758
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2005
Last Update: June 12, 2024
Deactivation Date: March 22, 2006
Sole Proprietor: Yes

Mailing Address

1506 E Griffin Pkwy

Mission, TX 78572

Phone: 9565830202

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.