NPPES file of Aug 9, 2026

Hiten G. Shah, M.D.

Pulmonary Disease Physician · Marion, OH

Hiten G. Shah, M.D. is a pulmonary disease physician with a practice address in Marion, Ohio, and NPI 1851343321, issued on May 16, 2006. Check the license (Ohio 35087729, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1851343321
Name
Hiten G. Shah
Credential
M.D.
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
35087729 OH
Self-reported in NPPES; status is on the state search
Practice location
1040 Delaware Ave, Marion, OH 43302
Phone
(740) 375-8135
Enumerated
May 16, 2006
Record last updated
Dec 15, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(740) 375-6468
Medicaid ID
2650153 OH
Medicare enrollment
Enrolled (PECOS I20060502000889); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1040 Delaware Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Arthur Armstrong, M.D.Internal Medicine Physician1548234677
  2. James Bazzoli, MDObstetrics & Gynecology Physician1043278617
  3. Shawn Beltz, PAPhysician Assistant1437707031
  4. Vanessa Blanchard, CNPPediatric Nurse Practitioner1083326136
  5. Stephanie Bland, DOPediatrics Physician1538629894
  6. Benjamin BoiceFamily Nurse Practitioner1093310054

Verify Hiten G. Shah in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersState Medical Board of Ohio
    Search for license 35087729
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Ohio license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.3 times the Medicare Part D claims of the average pulmonary disease physician in 2024

3,285 Medicare Part D claims for 466 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 70% of claims.

  1. Hiten Shah3,285
  2. Specialty average1,425

Most prescribed

  1. Albuterol Sulfate Hfa825 claims
  2. Trelegy Ellipta481 claims
  3. Breo Ellipta257 claims
  4. Breztri Aerosphere169 claims
  5. Ventolin Hfa153 claims
  6. Fluticasone-Salmeterol121 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 87.7 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score74.5
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%96.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Marion Area Physicians LLCMarion, OH

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Hiten G. Shah among 659 pulmonary disease physician records in Ohio

Hiten G. Shah, M.D. is one of 659 pulmonary disease physician records with a practice address in Ohio. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.

  • NPI issued2006 · 12% of these records are older, 56% newer
  • In a Medicare fileYes · 87% of these records are
  • In the CMS Doctors and Clinicians fileYes · 78% of these records are
  • Graduated2000 · median 2005 among the 516 with a school on file
  • Record last updated2021 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Ohio

There are 659 pulmonary disease physician records in Ohio.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Mushtaq Ahmad, MDMarion, OH 433021508822446
  2. George McKenney, DOMarion, OH 433021538665195
  3. Joel Provenzano, M.D.Marion, OH 433021942431515
  4. Aileen Ruffino, D.O.Marion, OH 433021437424496
  5. Harsh Shah, M.D.Marion, OH 433021790962116
  6. Richard Stringer, MDMarion, OH 433021669867354
  7. Joseph Duffy, M.D.Columbus, OH 432281386897544
  8. Sarita GautamColumbus, OH 432281780001404

Common questions

What is Hiten G. Shah, M.D.'s NPI number?

Hiten G. Shah, M.D.'s National Provider Identifier (NPI) is 1851343321, issued on May 16, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Hiten G. Shah, M.D. located?

The NPPES record lists a practice address at 1040 Delaware Ave, Marion, OH, 43302. Phone: (740) 375-8135. Providers update this record themselves, so call before visiting.

How can I verify Hiten G. Shah, M.D.'s license?

NPPES lists Ohio license number 35087729, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Hiten G. Shah, M.D. prescribe under Medicare Part D?

In 2024, Hiten G. Shah, M.D. had 3,285 Medicare Part D claims for 466 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Hiten G. Shah, M.D.'s MIPS final score?

The 2023 MIPS final score is 87.7 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.