NPI registry status
Active
2026 NPPES data Hospitalist Physician NPI 1053965392 MD
Verify on CMS → Dhiraj Shah, MD
Hospitalist Physician in Marion, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 16,938 in Hospitalist Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
223
Medicare Part D claims · 135 beneficiaries · Hospitalist Physician avg: 888
Generic prescribing
92%
generic claims · 8% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.7/100
▲ 0 pts above national avg 83.5 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Dhiraj Shah, MD reported a CMS MIPS final score of 83.7/100 - above the 83.5 national average - and filed 223 Medicare Part D claims in 2023.
- 83.7/100
- MIPS score · +0 vs avg
- 223
- Part D claims, 2023
- 92%
- generic prescribing
- Likely
- board-certified (heuristic)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Dhiraj Shah, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
84 ≥ 39th percentile 39% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Dhiraj Shah, MD sits
This provider among hospitalist physician peers
Across the 4,317 hospitalist physician providers who report both Medicare Part D prescribing and a MIPS quality score, Dhiraj Shah, MD writes more Part D claims than 46% of them and scores higher on MIPS quality than 37% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one hospitalist physician peer from a representative sample of 60; the gold marker is Dhiraj Shah, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Dhiraj Shah, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Dhiraj Shah, MD?
Near national averagePrimary specialty
Hospitalist Physician
Medicare Part D claims
223 75% vs specialty avg
MIPS final score
83.7/100 0.2 pts vs avg
Specialty distribution in Indiana
How Hospitalist Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Dhiraj Shah, MD's 2023 MIPS final score plotted against the Hospitalist Physician national average
- MIPS Final Score
- 83.7/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Dhiraj Shah, MD appears in the CMS NPPES registry as a Hospitalist Physician provider holding MD credentials at 441 N WABASH AVE, Marion, IN, 46952, with a listed phone of (765) 662-4236. NPI 1053965392 was issued on 07/25/2019.
Medicare Part D records for calendar year 2023 show 223 prescription claims written by this provider, covering 135 Medicare beneficiaries and totaling roughly $9K in drug spend, split 8% brand-name and 92% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.7/100 for the 2023 performance year (Quality 69.9), compared with the 83.5 average among clinicians with a measured score.
Hospitalist Physician is a mid-sized specialty nationwide, with 16,938 enrolled providers across 54 states and an average of 888 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1053965392 |
|---|---|
| Specialty | Hospitalist Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 07/25/2019 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
83.7167
Final Score
Measured-score avg: 83.5
69.9489
Quality
95
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Dhiraj Shah, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Marion General Hospital
★★★☆☆ 3/5
Marion, IN
Acute Care Hospitals
CMS CCN: 150011
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Dhiraj Shah, MD - brand share 8.0%
Hospitalist Physician average
8% brand-name claims vs 92% generic, on 223 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
223
Total Claims
$9K
Total Drug Cost
135
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 255
- Total Day Supply
- 4,751
- Brand vs Generic
- 8% brand / 92% generic
- Brand Drug Cost
- $6K
- Generic Drug Cost
- $4K
- Antibiotic Claims
- 62
Patient Demographics
- Average Patient Age
- 71.9 years
- Avg HCC Risk Score
- 2.10
- Gender Split
- 56% female / 44% male
- Age Distribution
- <65: 28, 65-74: 54, 75-84: 28, 85+: 25
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Dhiraj Shah, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Prednisone
Prednisone
26 claims
- Furosemide
Furosemide
23 claims
- Atorvastatin Calcium
Atorvastatin Calcium
15 claims
- Levofloxacin
Levofloxacin
12 claims
- Metoprolol Succinate
Metoprolol Succinate
12 claims
| Drug | Claims |
|---|---|
| Prednisone | 26 |
| Furosemide | 23 |
| Atorvastatin Calcium | 15 |
| Levofloxacin | 12 |
| Metoprolol Succinate | 12 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hospitalist Physician Overview
How Dhiraj Shah, MD fits within the Hospitalist Physician landscape nationally.
16,938
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider
Dhiraj Shah, MD's 223 claims are below the specialty average of 888.
Nearby Hospitalist Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Shah.
One of 333 Hospitalist Physician providers enrolled in Indiana, 5 are shown here.
Dr. Joseph Abdayem
M.D.
Terre Haute, IN
Dr. Almaz Abdyrakov
M.D.
Hammond, IN
Ahmed Abusamra
Indianapolis, IN
Dr. Tigist Adugna
M.D
New Castle, IN
Dr. Brian Aguilar
MD
McCordsville, IN
Compare Hospitalist Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Hospitalist Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
Telehealth Guide
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Frequently Asked Questions
What is Dhiraj Shah, MD's specialty? ▼
Dhiraj Shah, MD specializes in Hospitalist Physician and practices in Marion, Indiana. Credentials: MD.
How much does Dhiraj Shah, MD prescribe under Medicare Part D? ▼
In 2023, Dhiraj Shah, MD wrote 223 Medicare Part D claims totaling $9K in drug costs for 135 beneficiaries.
What is Dhiraj Shah, MD's Medicare quality score? ▼
Dhiraj Shah, MD has a CMS MIPS Final Score of 83.7/100 (Quality: 69.9). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Dhiraj Shah, MD located? ▼
Dhiraj Shah, MD is located at 441 N WABASH AVE, Marion, IN, 46952. Phone: (765) 662-4236.
What is Dhiraj Shah, MD's NPI number? ▼
Dhiraj Shah, MD's National Provider Identifier (NPI) is 1053965392, issued on 07/25/2019.
Does Dhiraj Shah, MD prescribe more brand-name or generic drugs? ▼
Dhiraj Shah, MD's prescribing is 8% brand-name and 92% generic drugs by claim count, with $6K in brand drug costs.
How many Hospitalist Physician providers are there in the US? ▼
There are 16,938 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
What drugs does Dhiraj Shah, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Dhiraj Shah, MD's most frequently prescribed drugs include Prednisone, Furosemide, Atorvastatin Calcium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Dhiraj Shah, MD accept Medicare? ▼
Dhiraj Shah, MD appears in CMS Medicare data with 223 Part D claims and 135 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Dhiraj Shah, MD's credentials? ▼
Dhiraj Shah, MD's NPI is 1053965392 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.