Individual provider Active NPI

Maulik Shah, MD

  • Internal Medicine Physician
  • Fresno, CA
National Provider Identifier
1003022682
Registry record updated Sep 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A109648 Issued in CA
Practice address
7300 N Fresno St
Fresno, CA 93720-2941
Phone
(559) 448-4555
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BD6377712-952 AZ
Hospitalist Physician 208M00000X A109648 CA
Internal Medicine Physician 207R00000X A109648 CA Primary

Addresses

Primary practice location

7300 N Fresno St
Fresno, CA 93720-2941

Mailing address

4034 Heritage LN
Clovis, CA 93619-5098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091125000070 CA Practitioner - Internal MedicinePractitioner - Hospitalist 7618016049 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786
Phone (559) 537-0550

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3000

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

Merit-based Incentive Payment System (MIPS)

Final score
85.57 of 100Reported as group
Quality
63.43
Promoting interoperability
98
Improvement activities
40
Cost
77.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109648CAMDDentist
BD6377712-952AZMDInternal Medicine Physician
A109648CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Foundation Internal Medicine CurrentSince Sep 11, 2019 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince Oct 15, 2018 Accepting new patients
Galen Inpatient Physicians PC Internal Medicine CurrentSince Oct 15, 2018 Accepting new patients
LQMG Medical Group Inc. Internal Medicine Current Accepting new patients
Permanente Medical Group Inc Internal Medicine CurrentSince Dec 7, 2015 Accepting new patients
Permanente Medical Group Inc Internal Medicine Current Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Community Hospitalist Medical Group Inc. Internal Medicine Past Accepting new patients
Sports Medicine Grant, Inc Past Accepting new patients
Sante Health Foundation Internal Medicine Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

7300 N Fresno St
Fresno, CA 93720
Phone (207) 448-4500

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1250 E Almond Ave
Madera, CA 93637
Phone (559) 675-5501

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

869 N Cherry St
Tulare, CA 93274
Phone (559) 326-2800

275 Hospital Dr
Ukiah, CA 95482
Phone (707) 462-7900

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

1 Marcela Dr
Willits, CA 95490
Phone (707) 456-3001

Interoperability endpoints

  • Direct secure messaging: mshah2712538@direct.trinity-health.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506729600000",
    "number": "1003022682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4034 HERITAGE LN",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936195098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202941",
            "telephone_number": "559-448-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "MAULIK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2017-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "BD6377712-952",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A109648",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A109648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.