Niraj Shah
NPI 1326300831ActiveIndividual· Family Medicine· Mount Pleasant, WI
Family Medicine with Aurora Medical Group, Inc., practicing in Mount Pleasant, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $604,008 for 8,563 claims, against $74,051 paid for services in 2024. Regeneron Pharmaceuticals, Inc. reported $49.84 in payments in 2025, mostly food and beverage. Lists Aurora Medical Center Kenosha as a hospital affiliation.
Overview
| NPI | 1326300831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 11, 2012 |
| Last updated in NPPES | Aug 5, 2024 |
| Certified by provider | Aug 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 64153 | WI |
| Family Medicine | 207Q00000X | 125.061309 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 214 |
|---|---|
| Services billed | 993 across 34 procedure codes |
| Paid by Medicare | $74,051 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,563 · 17,798 30-day fills |
|---|---|
| Patients | 610 |
| Total drug cost | $604,008 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Hospital affiliation
- Aurora Medical Center KenoshaKenosha, WI
Other facilities
- Aurora at HomeHome health agency · Milwaukee, WI
Industry payments (Open Payments)
- 2025$49.84 · 1 payment from 1 company
- 2024$27.10 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Regeneron Pharmaceuticals, Inc. | $49.84 | 1 |
What the 2025 payments were for
- Food and Beverage$49.84 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 family medicine physicians in Mount Pleasant · All family medicine physicians in Wisconsin