Active NPI
Kairav Rameshchandra Shah, MD
- Psychiatry Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A142095
- Practice address
- 1524 McHenry Ave Ste 445
Modesto, CA 95350-4573 - Phone
- (209) 571-1693
- NPI assigned
- Sep 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 268942 | NY | |
| Pain Medicine Physician | 208VP0000X | ME134702 | FL | |
| Psychiatry Physician | 2084P0800X | A142095 | CA | Primary |
Addresses
Primary practice location
1524 McHenry Ave Ste 445
Modesto, CA 95350-4573
Mailing address
1524 McHenry Ave Ste 445
Modesto, CA 95350-4573
Phone (209) 571-1693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1524 McHenry Ave
Suite 445
Modesto, CA 95350-4573
Phone (209) 571-1693
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Integrated Pain Management Medical Group, Inc. | Current | Accepting new patients | |
| Traditions Psychiatry Group, P.C | Psychiatry | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Florida Pain and Rehabilitation Associates Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Psychiatry | Current | Accepting new patients |
| National Surgical Centers of America LLC | Current | Accepting new patients | |
| NJ Behavioral Care Inc. | Psychiatry | Past | Accepting new patients |
Locations (25 of 28)
750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131
4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738
7111 N Fresno St
Ste 100
Fresno, CA 93720
Phone (559) 878-5080
900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014
1524 McHenry Ave
Ste 445
Modesto, CA 95350
Phone (209) 571-0288
101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109
3825 Hopyard Rd
Ste 140
Pleasanton, CA 94588
Phone (925) 847-5051
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
930 W Main St
Ripon, CA 95366
Phone (209) 599-4221
650 University Ave
Ste 100
Sacramento, CA 95825
Phone (916) 333-5800
501 J St
Sacramento, CA 95814
Phone (916) 497-3000
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
2410 Merced St
San Leandro, CA 94577
Phone (510) 278-2700
999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031
5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960
320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834
5365 Atlantic Ave
Ste 504
Delray Beach, FL 33484
Phone (561) 241-9300
5365 Atlantic Ave
Ste 501
Delray Beach, FL 33484
Phone (561) 279-3500
150 SW Chamber Ct
Ste 105
Port St Lucie, FL 34986
Phone (772) 807-9000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 12
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Walnut Creek, CA
- NPI 1922198779
-
- Psychiatry Physician
- Santa Rosa, CA
- NPI 1083802979
-
- Interventional Pain Medicine Physician
- Delray Beach, FL
- NPI 1902064876
-
- Ambulatory Surgical Clinic/Center
- Lady Lake, FL
- NPI 1063853174
-
- Ambulatory Surgical Clinic/Center
- Winter Park, FL
- NPI 1770724122
-
- Ambulatory Surgical Clinic/Center
- Delray Beach, FL
- NPI 1992040976
-
- Ambulatory Surgical Clinic/Center
- Port St. Lucie, FL
- NPI 1346662186
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Specialist
- Delray Beach, FL
- NPI 1053363457
-
- Specialist
- Fort Lauderdale, FL
- NPI 1598347726
-
- Psychiatry Physician
- Jersey City, NJ
- NPI 1770249385
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sonora, CA
- NPI 1780673376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707350400000",
"number": "1053660886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 445",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504573",
"telephone_number": "209-571-1693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 445",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504573",
"telephone_number": "209-571-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "KAIRAV",
"middle_name": "RAMESHCHANDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-07",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "268942",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "FL",
"license": "ME134702",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A142095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.