2026 NPPES data Nephrology Physician NPI 1841271491 MD
Verify on CMS →

SHEETAL SHAH, MD

Nephrology Physician in HOLLADAY, Utah. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
1K
Medicare Part D claims · 207 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
82%
generic claims · 18% brand-name · higher generic rates reduce patient out-of-pocket costs
Industry payments
$368.84
17 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: SHEETAL SHAH, MD is a Nephrology Physician ([object Object]) practicing in HOLLADAY, Utah with a Medicare Part D prescribing footprint of 1K claims across 207 beneficiaries — 18% brand-name prescribing . Industry payments of $368.84 across 17 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: SHEETAL SHAH, MD filed 1,287 Medicare Part D claims in 2023 across HOLLADAY, Utah. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

SHEETAL SHAH, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

SHEETAL SHAH, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 11/10/2005

NPI 1841271491

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,287 11% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

Specialty distribution in Utah

How Nephrology Physician compares to other specialties among Utah providers

Utah providers

Nephrology Physician share within Utah

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Utah

Specialty board-certification context

Estimated specialty board-certified rate — Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Nephrology Physician) — ABMS / AOA estimate

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).

SHEETAL SHAH, MD is a Nephrology Physician provider practicing in HOLLADAY, Utah, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1841271491. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

SHEETAL SHAH, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 4252 S HIGHLAND DR STE 200, HOLLADAY, UT, 84124, with a listed phone of (801) 965-3600. NPI 1841271491 was issued on 11/10/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what SHAH most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,287 prescription claims written by this provider, covering 207 Medicare beneficiaries and totaling roughly $154K in drug spend, split 18% brand-name and 82% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

4252 S HIGHLAND DR STE 200
HOLLADAY, UT 84124

Provider Details

NPI 1841271491
Specialty Nephrology Physician
Credentials MD
Gender Female
NPI Issued 11/10/2005

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for SHEETAL SHAH, MD. Source: openpaymentsdata.cms.gov.

Total received

$369

Largest payer

Otsuka America Pharmaceutical, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

SHEETAL SHAH, MD — brand share 18.0%
Specialty average (est.)

18% brand-name claims vs 82% generic, on 1,287 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.

1,287
Total Claims
$154K
Total Drug Cost
207
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,208
Total Day Supply
65,827
Brand vs Generic
18% brand / 82% generic
Brand Drug Cost
$138K
Generic Drug Cost
$16K
Antibiotic Claims
23

Patient Demographics

Average Patient Age
74.4 years
Avg HCC Risk Score
1.51
Gender Split
52% female / 48% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Losartan Potassium
158
Farxiga
Dapagliflozin Propanediol
147
Amlodipine Besylate
134
Carvedilol
130
Lisinopril
106
Calcitriol
87
Diltiazem 24hr Er (Cd)
Diltiazem Hcl
58
Hydralazine Hcl
49
Spironolactone
33
Jardiance
Empagliflozin
29

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How SHEETAL SHAH, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

SHEETAL SHAH, MD's 1,287 claims are below the specialty average of 1,454.

Nearby Nephrology Physician Providers in Utah

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

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is SHEETAL SHAH, MD's specialty?
SHEETAL SHAH, MD specializes in Nephrology Physician and practices in HOLLADAY, Utah. Credentials: MD.
How much does SHEETAL SHAH, MD prescribe under Medicare Part D?
In 2023, SHEETAL SHAH, MD wrote 1,287 Medicare Part D claims totaling $154K in drug costs for 207 beneficiaries.
Where is SHEETAL SHAH, MD located?
SHEETAL SHAH, MD is located at 4252 S HIGHLAND DR STE 200, HOLLADAY, UT, 84124. Phone: (801) 965-3600.
What is SHEETAL SHAH, MD's NPI number?
SHEETAL SHAH, MD's National Provider Identifier (NPI) is 1841271491, issued on 11/10/2005.
Does SHEETAL SHAH, MD prescribe more brand-name or generic drugs?
SHEETAL SHAH, MD's prescribing is 18% brand-name and 82% generic drugs by claim count, with $138K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does SHEETAL SHAH, MD prescribe most often?
Based on 2023 Medicare Part D data, SHEETAL SHAH, MD's most frequently prescribed drugs include Losartan Potassium, Farxiga, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does SHEETAL SHAH, MD accept Medicare?
SHEETAL SHAH, MD appears in CMS Medicare data with 1,287 Part D claims and 207 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHEETAL SHAH, MD's credentials?
SHEETAL SHAH, MD's NPI is 1841271491 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

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