NPI registry status
Active
2026 NPPES data Sports Medicine (Family Medicine) Physician NPI 1962458190 MD
Verify on CMS → Nilesh Shah, MD
Sports Medicine (Family Medicine) Physician in Akron, Ohio.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,087 in Sports Medicine (Family Medicine) 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
31
Medicare Part D claims · 20 beneficiaries · Sports Medicine (Family Medicine) Physician avg: 1K
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Nilesh Shah, MD filed 31 Medicare Part D claims in 2023 as a Sports Medicine (Family Medicine) Physician in Akron, Ohio.
- 31
- Part D claims, 2023
- 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.
Nilesh Shah, MD's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
31 0th percentile higher than 0% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Nilesh Shah, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Nilesh Shah, MD?
Quality data not reportedPrimary specialty
Sports Medicine (Family Medicine) Physician
Medicare Part D claims
31 98% vs specialty avg
Specialty distribution in Ohio
How Sports Medicine (Family Medicine) Physician compares to other specialties among Ohio providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Sports Medicine (Family Medicine) Physician. Verify directly:
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).
Nilesh Shah, MD appears in the CMS NPPES registry as a Sports Medicine (Family Medicine) Physician provider holding MD credentials at 20 OLIVE ST STE 201, Akron, OH, 44310, with a listed phone of (330) 379-5051. NPI 1962458190 was issued on 05/26/2006.
Medicare Part D records for calendar year 2023 show 31 prescription claims written by this provider, covering 20 Medicare beneficiaries and totaling roughly $423 in drug spend.
Sports Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 2,087 enrolled providers across 52 states and an average of 1,242 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 | 1962458190 |
|---|---|
| Specialty | Sports Medicine (Family Medicine) Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 05/26/2006 |
Hospital and facility affiliations
Facilities where Nilesh 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.
Summa Physicians LLC
Akron, OH
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context - Ohio OMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~48K Ohio medical licensees in 2023 - they are NOT specific to Nilesh Shah, MD. To verify Nilesh Shah, MD's current license status, search the OMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
158
Total board actions, Ohio 2023
Across 154 cases
3.29
Actions per 1,000 licensees
Ohio statewide rate
probation
Most common action type
56 cases
OMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Ohio disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
31
Total Claims
$423
Total Drug Cost
20
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 33
- Total Day Supply
- 658
- Brand Drug Cost
- $0
- Generic Drug Cost
- $423
Patient Demographics
- Average Patient Age
- 70.0 years
- Avg HCC Risk Score
- 0.89
More Sports Medicine (Family Medicine) Physician in OH →
All providers in Ohio →
Compare specialties →
Sports Medicine (Family Medicine) Physician Overview
How Nilesh Shah, MD fits within the Sports Medicine (Family Medicine) Physician landscape nationally.
2,087
Sports Medicine (Family Medicine) Physician Providers in US
52
States with Sports Medicine (Family Medicine) Physician
1,242
Avg Claims per Provider
Nilesh Shah, MD's 31 claims are below the specialty average of 1,242.
Nearby Sports Medicine (Family Medicine) Physician Providers in Ohio
Other clinicians with the same primary specialty enrolled in Ohio, drawn from the same CMS NPPES roster as Shah.
Dr. Kenneth Aguirre
M.D.
Saint Clairsville, OH
Dr. Jose Armendariz
M.D.
Akron, OH
Dr. Kiersten Arthur
MD
Columbus, OH
Dr. Wesley Baker
DO
Dover, OH
Dr. Steven Barrientos
DO
Chillicothe, OH
Compare Sports Medicine (Family Medicine) 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 Ohio medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Sports Medicine (Family Medicine) 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
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore Ohio
Frequently Asked Questions
What is Nilesh Shah, MD's specialty? ▼
Nilesh Shah, MD specializes in Sports Medicine (Family Medicine) Physician and practices in Akron, Ohio. Credentials: MD.
How much does Nilesh Shah, MD prescribe under Medicare Part D? ▼
In 2023, Nilesh Shah, MD wrote 31 Medicare Part D claims totaling $423 in drug costs for 20 beneficiaries.
Where is Nilesh Shah, MD located? ▼
Nilesh Shah, MD is located at 20 OLIVE ST STE 201, Akron, OH, 44310. Phone: (330) 379-5051.
What is Nilesh Shah, MD's NPI number? ▼
Nilesh Shah, MD's National Provider Identifier (NPI) is 1962458190, issued on 05/26/2006.
How many Sports Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 2,087 Sports Medicine (Family Medicine) Physician providers across 52 states in the US. The average Sports Medicine (Family Medicine) Physician provider writes 1,242 Medicare Part D claims per year.
Does Nilesh Shah, MD accept Medicare? ▼
Nilesh Shah, MD appears in CMS Medicare data with 31 Part D claims and 20 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Nilesh Shah, MD's credentials? ▼
Nilesh Shah, MD's NPI is 1962458190 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.
- 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
Compiled from official public sources by the PlainDoctor editorial team.