2026 NPPES data Advanced Heart Failure and Transplant Cardiology Physician NPI 1326004896 M.D.
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TUSHAR SHAH, M.D.

Advanced Heart Failure and Transplant Cardiology Physician in DURANGO, Colorado. 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
72
Medicare Part D claims · 14 beneficiaries · Advanced Heart Failure and Transplant Cardiology Physician avg: 2K
Industry payments
$195.43
11 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TUSHAR SHAH, M.D. filed 72 Medicare Part D claims in 2023 as a Advanced Heart Failure and Transplant Cardiology Physician in DURANGO, Colorado.

72
Part D claims, 2023
$195.43
industry payments (Sunshine Act)

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.

TUSHAR SHAH, M.D.'s Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

72 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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-eligible specialty (heuristic — not verified)

TUSHAR SHAH, M.D. 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).

What does the federal data show about TUSHAR SHAH, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/25/2006

NPI 1326004896

Primary specialty

Advanced Heart Failure and Transplant Cardiology Physician

Niche

510 US NPIs in this specialty

Medicare Part D claims

72 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,762

Specialty distribution in Colorado

How Advanced Heart Failure and Transplant Cardiology Physician compares to other specialties among Colorado providers

Colorado providers

Advanced Heart Failure and Transplant Cardiology Physician share within Colorado

1. Advanced Heart Failure and Transplant Cardiology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Advanced Heart Failure and Transplant Cardiology Physician share within Colorado

Specialty board-certification context

Estimated specialty board-certified rate — Advanced Heart Failure and Transplant Cardiology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Advanced Heart Failure and Transplant Cardiology Physician ABMS/AOA estimate

Est. board-certified rate (Advanced Heart Failure and Transplant Cardiology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Advanced Heart Failure and Transplant Cardiology 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).

TUSHAR SHAH, M.D. appears in the CMS NPPES registry as a Advanced Heart Failure and Transplant Cardiology Physician provider holding M.D. credentials at 1 MERCADO ST, DURANGO, CO, 81301, with a listed phone of (970) 247-1120. NPI 1326004896 was issued on 04/25/2006. 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 72 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $2K in drug spend. 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.

Advanced Heart Failure and Transplant Cardiology Physician is a narrow specialty nationwide, with 510 enrolled providers across 48 states and an average of 1,762 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

1 MERCADO ST
DURANGO, CO 81301

Provider Details

NPI 1326004896
Specialty Advanced Heart Failure and Transplant Cardiology Physician
Credentials M.D.
Gender Male
NPI Issued 04/25/2006

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 TUSHAR SHAH, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$195

Largest payer

Novartis Pharmaceuticals Corporation

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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

72
Total Claims
$2K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
94
Total Day Supply
2,525
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
78.7 years
Avg HCC Risk Score
2.19

Advanced Heart Failure and Transplant Cardiology Physician Overview

How TUSHAR SHAH, M.D. fits within the Advanced Heart Failure and Transplant Cardiology Physician landscape nationally.

510
Advanced Heart Failure and Transplant Cardiology Physician Providers in US
48
States with Advanced Heart Failure and Transplant Cardiology Physician
1,762
Avg Claims per Provider

TUSHAR SHAH, M.D.'s 72 claims are below the specialty average of 1,762.

Nearby Advanced Heart Failure and Transplant Cardiology Physician Providers in Colorado

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

Compare Advanced Heart Failure and Transplant Cardiology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TUSHAR SHAH, M.D.'s specialty?
TUSHAR SHAH, M.D. specializes in Advanced Heart Failure and Transplant Cardiology Physician and practices in DURANGO, Colorado. Credentials: M.D..
How much does TUSHAR SHAH, M.D. prescribe under Medicare Part D?
In 2023, TUSHAR SHAH, M.D. wrote 72 Medicare Part D claims totaling $2K in drug costs for 14 beneficiaries.
Where is TUSHAR SHAH, M.D. located?
TUSHAR SHAH, M.D. is located at 1 MERCADO ST, DURANGO, CO, 81301. Phone: (970) 247-1120.
What is TUSHAR SHAH, M.D.'s NPI number?
TUSHAR SHAH, M.D.'s National Provider Identifier (NPI) is 1326004896, issued on 04/25/2006.
How many Advanced Heart Failure and Transplant Cardiology Physician providers are there in the US?
There are 510 Advanced Heart Failure and Transplant Cardiology Physician providers across 48 states in the US. The average Advanced Heart Failure and Transplant Cardiology Physician provider writes 1,762 Medicare Part D claims per year.
Does TUSHAR SHAH, M.D. accept Medicare?
TUSHAR SHAH, M.D. appears in CMS Medicare data with 72 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TUSHAR SHAH, M.D.'s credentials?
TUSHAR SHAH, M.D.'s NPI is 1326004896 with credentials M.D.. 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