Provider Profile
Listed in the NPI registry as a nurse practitioner, Prachi Shah practices in Burlington, MA. Prachi is also listed as specializing in registered nurse. According to Medicare claims data, Prachi cared for 371 Medicare patients across 569 services. The services billed most often include established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more, prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
67 S BEDFORD ST STE 101
Burlington, MA 01803
569 services · 371 patients · 4 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | Office visit | 99215 |
275 | More than most peers in Nurse Practitioner |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | Billing code | G2212 |
136 | More than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
99 | As often as other peers in Nurse Practitioner |
| Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient' | Billing code | G2211 |
59 | As often as other peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Prachi Shah is a nurse practitioner in Burlington, MA. That is the designation recorded for this NPI in the federal registry.
NPI registry
Prachi Shah is listed at 67 S Bedford St Ste 101, Burlington, MA 01803. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (781) 744-8000. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Prachi Shah's National Provider Identifier is 1952076200. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Prachi Shah attended Other, graduating in 2021. This comes from the CMS National Downloadable File.
CMS public data
Prachi Shah has 5 years experience. Calculated from a graduation year of 2021, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Prachi Shah the Medicare record under this individual NPI shows mainly office visits and diagnostic testing. Hospital-based physicians usually have their procedural work billed by the facility rather than under their own number, so this is a floor on their practice, not a description of it. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Prachi Shah. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.