Keval Dipak Shah, D.O.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

20A13956 Issued in CA

Practice address

2241 Wankel Way Ste a
Oxnard, CA 93030-0191

Phone

(805) 983-0521

Fax

(805) 983-4186

NPI assigned

Jun 2, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

GastroenterologyAlso: Internal Medicine

Education

Western University of Health Sciences College of Dental Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Santa Maria Gastroenterology Medical Group Inc.Group PAC ID 6709070964, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
• Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506
• French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
• Adventist Health Twin Cities Hospital, Templeton, CA, CCN 050633
• Lompoc Valley Medical Center Hospital, Lompoc, CA, CCN 050110

Merit-based Incentive Payment System (MIPS)

Final score

88.79 of 100Reported as group

Quality

74.86

Promoting interoperability

100

Improvement activities

40

Cost

73.17

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: kshah314667@direct.hfhs.org

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.

• Santa Maria Gastroenterology Medical Group Inc.

  • Gastroenterology Physician
  • Santa Maria, CA
  • NPI 1386971687
  Medicare reassignment Care Compare group
• County of Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1629167457
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  NPD (past)
• Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1609663780
  NPD (past)

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

• Dignity Community Care

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1881760452
  Care Compare affiliation
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  Care Compare affiliation
• Lompoc Valley Medical Center

  • General Acute Care Hospital
  • Lompoc, CA
  • NPI 1194711952
  Care Compare affiliation
• Sierra Vista Hospital, Inc.

  • General Acute Care Hospital
  • San Luis Obispo, CA
  • NPI 1639101116
  Care Compare affiliation
• Twin Cities Community Hospital, Inc.

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  Care Compare affiliation

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1093035917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300191",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 WANKEL WAY STE A",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930300191",
            "telephone_number": "805-983-0521",
            "fax_number": "805-983-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KEVAL",
        "middle_name": "DIPAK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-02",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "20A13956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armand Mbuya Shabanza
• Mehrdad Shademan, D.C.
• Shaffer Vision Inc.
• William John Shaffer, O.D.
• Barbara L Shah, NP
• Lina Sarthi Shah, M.D.
• Roshan Ara Shah
• Moushegh Shakarian, DDS
• Shalabh Puri DDS.,Inc
• Terri Ann Shallenberger, MS, LMFT

• Gastroenterology Physician in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.

Verify at the official NPI Registry.