2026 NPPES data Hematology (Internal Medicine) Physician NPI 1073932695
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Rupin Shah

Hematology (Internal Medicine) Physician in Grand Rapids, Michigan.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 1,436 in Hematology (Internal 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
19
Medicare Part D claims · Hematology (Internal Medicine) Physician avg: 693
MIPS score
86.4/100
▲ 3 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Rupin Shah reported a CMS MIPS final score of 86.4/100 - above the 83.1 national average - and filed 19 Medicare Part D claims in 2023.

86.4/100
MIPS score · +3 vs avg
19
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.

Rupin Shah's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

86 Top 48% higher than 52% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Rupin Shah sits

This provider among hematology (internal medicine) physician peers

Across the 570 hematology (internal medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Rupin Shah writes more Part D claims than 1% of them and scores higher on MIPS quality than 61% - placing this provider in the lower-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.949.974.899.8Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 72Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 82Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 60Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 93Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 95Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 92Rupin Shah-Part D claim volume, percentile in specialty: 1 · MIPS quality, percentile: 61
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one hematology (internal medicine) physician peer from a representative sample of 60; the gold marker is Rupin Shah. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Rupin Shah practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 2 hospital affiliations - 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 Rupin Shah?

High performer (top quartile)

NPI registry status

Active

Issued 04/10/2014

NPI 1073932695

Primary specialty

Hematology (Internal Medicine) Physician

Niche

1,436 US NPIs in this specialty

Medicare Part D claims

19 97% vs specialty avg

2023 prescription claims

Specialty avg: 693

MIPS final score

86.4/100 3.3 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Michigan

How Hematology (Internal Medicine) Physician compares to other specialties among Michigan providers

Michigan providers
Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Hematology (Internal Medicine) Physician - 0%Hematology (Internal Medicine) Physician0%
Largest specialties in Michigan (% of in-state providers)

Medicare quality performance, MIPS

Rupin Shah's 2023 MIPS final score plotted against the Hematology (Internal Medicine) Physician national average

High performer (top quartile)
MIPS Final Score
86.4/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology (Internal Medicine) Physician) - 86.4/100 vs national avg 83.1

0%100%National avg83%86.4%
MIPS final score (Hematology (Internal Medicine) Physician) - 86.4/100 vs national avg 83.1
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).

Rupin Shah appears in the CMS NPPES registry as a Hematology (Internal Medicine) Physician provider at 100 MICHIGAN ST NE # MC269, Grand Rapids, MI, 49503, with a listed phone of (616) 486-5933. NPI 1073932695 was issued on 04/10/2014.

Medicare Part D records for calendar year 2023 show 19 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $9K in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 86.4/100 for the 2023 performance year (Quality 81.9, Cost 41.9), compared with the national average of 83.1.

Hematology (Internal Medicine) Physician is a narrow specialty nationwide, with 1,436 enrolled providers across 50 states and an average of 693 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

100 MICHIGAN ST NE # MC269
Grand Rapids, MI 49503

Provider Details

NPI 1073932695
Specialty Hematology (Internal Medicine) Physician
Gender Male
NPI Issued 04/10/2014

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

86.4449
Final Score
Avg: 83.1
81.9351
Quality
41.9183
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Rupin Shah 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.

Spectrum Health Hospitals
Grand Rapids, MI
Spectrum Health Primary Care Partners
Grand Rapids, MI

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 - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Rupin Shah. To verify Rupin Shah's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan 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.

19
Total Claims
$9K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
21
Total Day Supply
317
Generic Drug Cost
$451

Patient Demographics

Average Patient Age
67.8 years
Avg HCC Risk Score
5.05

Hematology (Internal Medicine) Physician Overview

How Rupin Shah fits within the Hematology (Internal Medicine) Physician landscape nationally.

1,436
Hematology (Internal Medicine) Physician Providers in US
50
States with Hematology (Internal Medicine) Physician
693
Avg Claims per Provider

Rupin Shah's 19 claims are below the specialty average of 693.

Nearby Hematology (Internal Medicine) Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as Shah.

Compare Hematology (Internal 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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Hematology (Internal 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.

Frequently Asked Questions

What is Rupin Shah's specialty?
Rupin Shah specializes in Hematology (Internal Medicine) Physician and practices in Grand Rapids, Michigan.
How much does Rupin Shah prescribe under Medicare Part D?
In 2023, Rupin Shah wrote 19 Medicare Part D claims totaling $9K in drug costs for N/A beneficiaries.
What is Rupin Shah's Medicare quality score?
Rupin Shah has a CMS MIPS Final Score of 86.4/100 (Quality: 81.9, Cost: 41.9). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Rupin Shah located?
Rupin Shah is located at 100 MICHIGAN ST NE # MC269, Grand Rapids, MI, 49503. Phone: (616) 486-5933.
What is Rupin Shah's NPI number?
Rupin Shah's National Provider Identifier (NPI) is 1073932695, issued on 04/10/2014.
How many Hematology (Internal Medicine) Physician providers are there in the US?
There are 1,436 Hematology (Internal Medicine) Physician providers across 50 states in the US. The average Hematology (Internal Medicine) Physician provider writes 693 Medicare Part D claims per year.
Does Rupin Shah accept Medicare?
Rupin Shah appears in CMS Medicare data with 19 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Rupin Shah's credentials?
Rupin Shah's NPI is 1073932695. 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

Compiled from official public sources by the PlainDoctor editorial team.