Niraj Shah
Family Medicine Physician · Mount Pleasant, WI
Niraj Shah is a family medicine physician with a practice address in Mount Pleasant, Wisconsin, and NPI 1326300831, issued on Jun 11, 2012. Check the license (Wisconsin 64153, as entered in NPPES) on the Wisconsin Medical Examining Board; the Medicare figures below come from public CMS files.
- Name
- Niraj Shah
- Primary taxonomy
- Family Medicine Physician 207Q00000X
- License numbers
- 64153 WI
125.061309 IL
Self-reported in NPPES; status is on the state search - Practice location
- 8400 Washington Ave, Mount Pleasant, WI 53406
- Phone
- (262) 884-4000
- Enumerated
- Jun 11, 2012
- Record last updated
- Aug 5, 2024
- Medicaid ID
- 100046771 WI
- Medicare enrollment
- Enrolled (PECOS I20150803002853); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest family medicine physician records → All 3,765 in Wisconsin → Look up another NPI →
Also registered at 8400 Washington Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Vanessa Abejuela-Matt, D.O.Family Medicine Physician1558687749
- Tanvi Adusumilli, M.D.Family Medicine Physician1861888307
- Syeda Ahmed, MDPediatrics Physician1619544517
- Corinne Anthony-Manswell, NPNurse Practitioner1538793443
- Nandita Batchra, MDOtolaryngology Physician1013086750
- Allison Blonski, MDPediatrics Physician1013366608
Verify Niraj Shah in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWisconsin Medical Examining Board
Search for license 64153Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.4 times the Medicare Part D claims of the average family medicine physician in 2024
8,563 Medicare Part D claims for 610 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 11% of claims. 84 claims were for opioids.
Most prescribed
- Atorvastatin Calcium697 claims
- Amlodipine Besylate416 claims
- Levothyroxine Sodium309 claims
- Lisinopril293 claims
- Pantoprazole Sodium274 claims
- Simvastatin269 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.
Industry payments in 2024: $27.10
1 payment: food and beverage; the largest payer was Lundbeck LLC. The 55,478 providers of this specialty with any payment received $902.55 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Aurora Medical Group, Inc.Mount Pleasant, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Niraj Shah among 3,765 family medicine physician records in Wisconsin
Niraj Shah is one of 3,765 family medicine physician records with a practice address in Wisconsin. 75% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 69% of them.
- NPI issued2012 · 69% of these records are older, 29% newer
- In a Medicare fileYes · 75% of these records are
- In the CMS Doctors and Clinicians fileYes · 62% of these records are
- Graduated2012 · median 2007 among the 2,347 with a school on file
- Record last updated2024 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
21 family medicine physician records list a practice address in Mount Pleasant
They are 21 of the 710 NPPES records with a practice address in Mount Pleasant, and 3,765 family medicine physician records in Wisconsin.
All 3,765 in Wisconsin → Every provider in Mount Pleasant → Family Medicine Physician nationwide →
The 8 family medicine physician records with the nearest ZIP codes
- Robert Brown, MDRacine, WI 534061861401523
- Christopher Cataldi, M.D.Mount Pleasant, WI 534061235201690
- Amy Crowder, MDMount Pleasant, WI 534061831164342
- Thomas Goodrich, M.D.Mt Pleasant, WI 534061649488826
- Brian Hettrick, M.D.Mount Pleasant, WI 534061942262712
- Mark Ines, MDRacine, WI 534061730238965
- Kenneth Kurt, DORacine, WI 534061255529673
- Mabria Loqman, MDRacine, WI 534061891862678
Common questions
What is Niraj Shah's NPI number?
Niraj Shah's National Provider Identifier (NPI) is 1326300831, issued on Jun 11, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Niraj Shah located?
The NPPES record lists a practice address at 8400 Washington Ave, Mount Pleasant, WI, 53406. Phone: (262) 884-4000. Providers update this record themselves, so call before visiting.
How can I verify Niraj Shah's license?
NPPES lists Wisconsin license number 64153, as entered by the provider. Search the Wisconsin Medical Examining Board at https://dsps.wi.gov/Pages/BoardsCouncils/MEB/Default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Niraj Shah prescribe under Medicare Part D?
In 2024, Niraj Shah had 8,563 Medicare Part D claims for 610 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.
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.