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Dr. Shirin Shirani, MD

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Specializes in: Adult Nephrology

Indiana University School of Medicine (1998)

Professional interests include: peritoneal dialysis, hypertension (high blood pressure), dialysis, and more.

136 Sherman Avenue Suite 405
New Haven, CT 06511

(203) 787-0117

Dr. Shirin Shirani, MD is a nephrologist in New Haven, CT specializing in adult nephrology. She graduated from Indiana University School of Medicine in 1998 and has 28 years of experience. Dr. Shirin Shirani, MD is affiliated with Yale New Haven Health and METABOLISM ASSOCIATES PC.

Office Locations

Yale New Haven Health

136 Sherman Avenue Suite 405
New Haven, CT 06511

(203) 777-3559

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Some issues Dr. Shirin Shirani, MD can help you with:

Kidney Stones

Kidney stones are hard deposits that form in the kidneys, made up of minerals that are normally present in urine. They can vary in size, from as small as a grain of sand to as large as a nickel, occasionally even larger. Sometimes they lodge in the kidney, and sometimes they break free and make their way out through the urinary tract, which can be extremely painful.

Kidney stones can be smooth or jagged and are yellow to brown in color. They are mostly comprised of the minerals calcium, oxalate, and phosphorus. Examining the stones to see what they are made of can show what caused the stone to be formed in the first place. For example, a stone made of mostly calcium, which is the most common type, can happen any time the urine becomes too concentrated due to dehydration or a blockage in the kidney. A uric acid stone forms when acid levels in the urine get too high, usually due to excessive consumption of animal protein such as meat and fish. A struvite stone is a sign of certain infections, and a cystine stone can be due to a genetic disorder that raises the risk of kidney stones.

The most common symptom of kidney stones is pain, either in the back or lower abdomen, or severe pain when urinating. There may also be blood in the urine. Treatment for kidney stones depends on how large the stone is. Very small stones can pass out of the body on their own, and they do not require treatment other than drinking adequate water and taking pain killers. Larger stones need to be broken apart and removed. The main treatment options are:

Shock wave lithotripsy, which uses sound wave vibrations to break apart the stone
Percutaneous nephrolithotomy, or the use of a very tiny tool (like a wire inserted through the back) to break apart and remove the stone
Ureteroscopy, a thin tube inserted through the urethra and bladder to the stone, where tiny tools can grasp the stone and remove

People who have had one kidney stone are at risk of developing another. To reduce this risk, patients are given instructions specific to the type of stone they developed. Generally the instructions will include drinking more water to dilute the urine, but it may also involve lowering sodium intake or eating less meat.

Peritoneal Dialysis

Peritoneal dialysis is a procedure that imitates renal (kidney) function by filtering patients' blood. When the kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient.

Peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.

Kidneys are important organs, and peritoneal dialysis can be vital for those with renal dysfunction. Peritoneal dialysis may be a more convenient alternative to hemodialysis, which requires going into a clinic.

Urinary Tract Infection (UTI)

A urinary tract infection, or UTI, happens when bacteria enter the body through the opening where urine is normally released. The bacteria infect the lining of the urethra and bladder, turning them red and inflamed. This causes pain in the abdomen or pelvic area, a burning sensation during urination, a sense of urgency about going to the bathroom, frequent urination, and urine that smells bad and looks cloudy, or even contains traces of blood. If the urinary tract infection is severe, it may travel all the way to the kidneys, a more serious kind of UTI called pyelonephritis. Patients with this kidney infection might have blood in their urine, feel back pain, and develop a fever.

Urinary tract infections are extremely common: 12% of all men and 40-50% of all women will have a urinary tract infection during their lifetime. They are more common in women because women have shorter urethras, so bacteria have a shorter distance to travel from the outside of the body to the bladder and cause an infection. Some people also have urethras that are an unusual shape or have an obstruction in the urethra that makes getting a UTI more likely. Also, certain chronic illnesses like diabetes weaken the immune system, so any bacteria in the body are more likely to cause an infection.

A urinary tract infection can be diagnosed very quickly by a doctor. A sample of urine can be examined under a microscope for the presence of bacteria or white blood cells. There are also diagnostic strips that can be used to test a urine sample without the need for a microscope. Once a diagnosis is made, treatment is a course of oral antibiotics, and most patients feel better within just a few days. There are some things that patients can do themselves to help reduce the risk of getting a urinary tract infection in the future. Stay well hydrated, wipe from front to back after going to the bathroom, wear breathable cotton undergarments, and don't hold it in when patients feel the urge to go.

Noteworthy Medicare Patient Procedures Performed by Dr. Shirin Shirani, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2023, Dr. Shirin Shirani, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within Connecticut. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

hemodialysis

In 2012, Dr. Shirin Shirani, MD performed more hemodialysis procedures for Medicare patients than 75% of providers in related specialties within Connecticut.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2012 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	305
doctor visit	318
hemofiltration	35
hospital care	942
inpatient care	942

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2013 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	327
doctor visit	316
hemofiltration	59
hospital care	963
inpatient care	963

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	229
Female	232

**Ethnicity**
Non-Hispanic White	320
Black	115
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	145
85 and over	111
Less than 65	108

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2013

Hypertension	75
High Cholesterol	67
Stroke	10
Ischemic Heart Disease	64
Depression	35
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	5
Atrial Fibrilation	28
Heart Failure	64
Chronic Obstructive Pulmonary Disease	33
Diabetes	62
Dementia	24
Cancer	15

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2014 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	208
doctor visit	307
hemofiltration	58
hospital care	842
inpatient care	842

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	218
Female	204

**Ethnicity**
Non-Hispanic White	295
Black	100
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	107
From 75 to 84	131
85 and over	93
Less than 65	91

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2014

Hypertension	75
High Cholesterol	70
Stroke	13
Ischemic Heart Disease	63
Depression	32
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	7
Atrial Fibrilation	26
Heart Failure	60
Chronic Obstructive Pulmonary Disease	30
Diabetes	61
Dementia	21
Cancer	13

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2015 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	216
doctor visit	332
hemofiltration	91
hospital care	798
inpatient care	798

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	418
Female	428

**Ethnicity**
Non-Hispanic White	574
Black	204
Hispanic	46
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	238
From 75 to 84	248
85 and over	198
Less than 65	162

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2015

Hypertension	75
High Cholesterol	71
Stroke	13
Ischemic Heart Disease	64
Depression	36
Chronic Kidney Disease	75
Asthma	24
Osteoperosis	6
Atrial Fibrilation	23
Heart Failure	61
Chronic Obstructive Pulmonary Disease	32
Diabetes	63
Dementia	23
Cancer	13

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2016 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	132
doctor visit	347
hemofiltration	29
hospital care	763
inpatient care	763

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	208
Female	232

**Ethnicity**
Non-Hispanic White	286
Black	121
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	135
85 and over	88
Less than 65	90

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2016

Hypertension	75
High Cholesterol	70
Stroke	8
Ischemic Heart Disease	60
Depression	32
Chronic Kidney Disease	75
Asthma	32
Osteoperosis	11
Atrial Fibrilation	23
Heart Failure	56
Chronic Obstructive Pulmonary Disease	26
Diabetes	64
Dementia	23
Cancer	15

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2017 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	139
doctor visit	266
hemofiltration	34
hospital care	641
inpatient care	641

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	212
Female	178

**Ethnicity**
Non-Hispanic White	264
Black	92
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	112
85 and over	75
Less than 65	76

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2017

Hypertension	75
High Cholesterol	68
Stroke	12
Ischemic Heart Disease	57
Depression	41
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	8
Atrial Fibrilation	30
Heart Failure	58
Chronic Obstructive Pulmonary Disease	31
Diabetes	59
Dementia	22
Cancer	14

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2018 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	116
doctor visit	272
hospital care	563
inpatient care	563

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	177
Female	162

**Ethnicity**
Non-Hispanic White	231
Black	75
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	103
From 75 to 84	103
85 and over	64
Less than 65	69

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2018

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	64
Depression	42
Chronic Kidney Disease	75
Asthma	12
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	59
Chronic Obstructive Pulmonary Disease	31
Diabetes	61
Dementia	30
Cancer	15

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2019 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	136
doctor visit	272
hemofiltration	36
hospital care	535
inpatient care	535

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	202
Female	157

**Ethnicity**
Non-Hispanic White	225
Black	98
Hispanic	25
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	106
From 75 to 84	102
85 and over	60
Less than 65	91

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2019

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	65
Depression	41
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	6
Atrial Fibrilation	23
Heart Failure	60
Chronic Obstructive Pulmonary Disease	27
Diabetes	66
Dementia	28
Cancer	16

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2020 were hospital care, inpatient care, dialysis and hemofiltration.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	199
doctor visit	122
hemofiltration	82
hospital care	520
inpatient care	520

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	198
Female	149

**Ethnicity**
Non-Hispanic White	230
Black	80
Hispanic	22
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	104
85 and over	54
Less than 65	87

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2020

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	64
Depression	45
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	60
Chronic Obstructive Pulmonary Disease	28
Diabetes	61
Dementia	29
Cancer	16

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2021 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	161
doctor visit	175
hospital care	489
inpatient care	489

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	163
Female	146

**Ethnicity**
Non-Hispanic White	201
Black	80
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	95
From 75 to 84	100
85 and over	51
Less than 65	63

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2021

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	62
Depression	41
Chronic Kidney Disease	75
Asthma	10
Osteoperosis	12
Atrial Fibrilation	24
Heart Failure	56
Chronic Obstructive Pulmonary Disease	23
Diabetes	60
Dementia	28
Cancer	17

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT during 2022 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

dialysis	122
doctor visit	210
hospital care	427
inpatient care	427

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	160
Female	127

**Ethnicity**
Non-Hispanic White	186
Black	70
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	81
From 75 to 84	97
85 and over	51
Less than 65	58

Conditions of Medicare patients treated by Dr. Shirin Shirani, MD in 2022

Hypertension	75
High Cholesterol	75
Stroke	20
Ischemic Heart Disease	53
Depression	38
Chronic Kidney Disease	75
Asthma	15
Osteoperosis	15
Atrial Fibrilation	38
Heart Failure	55
Chronic Obstructive Pulmonary Disease	23
Diabetes	60
Dementia	23
Cancer	20

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2022

Volume of procedures performed by Dr. Shirin Shirani, MD for Medicare patients.

The highest averages for the top procedures that Dr. Shirin Shirani, MD treated as a nephrologist in New Haven, CT were hospital care, inpatient care, dialysis and hemofiltration.

dialysis	187
doctor visit	267
hemofiltration	53
hospital care	680
inpatient care	680

Average Medicare Patient Data From 2012 - 2022

Information about Medicare patients treated by Dr. Shirin Shirani, MD.

**Gender**
Male	198
Female	183

**Ethnicity**
Black / African American	94
Asian / Pacific Islander	0
Non-Hispanic White	255
Native American / Alaskan Native	0
Hispanic	10
Other	0

**Age**
75 to 84	116
85 and over	76
Less than 65	81
65 to 74	107

Average of Total of Conditions of Medicare patients treated by Dr. Shirin Shirani, MD From 2012 - 2022

The highest averages of the most common conditions of Medicare patients that Dr. Shirin Shirani, MD treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	68
High Cholesterol	65
Stroke	10
Ischemic Heart Disease	56
Depression	34
Chronic Kidney Disease	68
Asthma	13
Osteoporosis	7
Heart Failure	53
Chronic Obstructive Pulmonary Disease	25
Diabetes	56
Atrial Fibrillation	24
Dementia	22
Cancer	14

Education & Training

Dr. Shirin Shirani, MD graduated from Indiana University School of Medicine in 1998. She completed residency at St Vincent's Hospital, Indianapols. She has a state license in Connecticut.

Medical School: Indiana University School of Medicine (1998)

Residency: St Vincent's Hospital, Indianapols

Licensed In: Connecticut

Affiliations & Hospitals

Dr. Shirin Shirani, MD is associated with these hospitals and organizations:

Yale New Haven Health

METABOLISM ASSOCIATES PC

Insurance Information

Please note: Insurance information may change at any time, and the provider may accept your insurance plan even if it is not listed below. Please contact the provider's office to confirm that your insurance is accepted.

Dr. Shirin Shirani, MD appears to accept the following insurance providers: Cigna, ConnectiCare, Aetna, MultiPlan, Anthem, WellCare, Great-West Healthcare, Guardian, First Health, United Healthcare, Oxford Health Plans, Health Net, Medicare, Medicaid and TRICARE/CHAMPUS.

Insurance Accepted by Provider includes:

According to our sources, Dr. Shirin Shirani, MD accepts the following insurance providers:

Cigna

ConnectiCare

Aetna

MultiPlan

Anthem

WellCare

Great-West Healthcare

Guardian

First Health

United Healthcare

Oxford Health Plans

Health Net

Medicare

Medicaid

TRICARE/CHAMPUS

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General Payments

These charts describe general payments received by Dr. Shirin Shirani, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Relypsa, Inc.	$841 VELTASSA $841
Amgen Inc.	$362 Parsabiv $235	Tavneos $81	Sensipar $47
AstraZeneca Pharmaceuticals LP	$234 LOKELMA $149	FARXIGA $86
Otsuka America Pharmaceutical, Inc.	$193 SAMSCA $124	JYNARQUE $69
Vifor Pharma, Inc.	$173 VELTASSA $173
Other	$1,053 SOLIRIS $147	BENLYSTA $121	Rayaldee $80	ACTHAR $63	Rituxan $58	Other $586

**Types of Payments**
Food and Beverage	$2,727
Education	$130

Biography

Dr. Shirin Shirani works as an adult nephrology. She studied medicine at Indiana University School of Medicine. Her areas of expertise include the following: kidney stones, urinary tract infection (UTI), and hemodialysis. Dr. Shirani appears to be an in-network provider for Anthem, ConnectiCare, and Blue California, in addition to other insurance carriers. She is affiliated with Yale New Haven Health. She welcomes new patients at her office inNew Haven, CT as reported by Yale New Haven Health.