Individual provider Active NPI

Priyal Shah, MD

  • Ophthalmology Physician
  • Hickory, NC
National Provider Identifier
1104387075
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A200796 Issued in CA
Practice address
2424 Century PL SE
Hickory, NC 28602-4031
Phone
(828) 322-2050
Fax
(828) 345-0522
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A200796 CA Primary
Ophthalmology Physician 207W00000X 25MA12048700 NJ
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 2026-4560 NC

Addresses

Primary practice location

2424 Century PL SE
Hickory, NC 28602-4031

Mailing address

PO Box 3445
Hickory, NC 28603-3445
Phone (828) 322-2050

Other practice location 1

2311 E Main St
Lincolnton, NC 28092-4103
Phone (828) 322-2050 ext. 6730

Other practice location 2

2415 Century Pl SE Ste B
Hickory, NC 28602-4006
Phone (828) 322-2050 ext. 6730

Other practice location 3

2640 Highway 105 Ste 102
Boone, NC 28607-7828
Phone (828) 322-2050 ext. 6730

Other practice location 4

11370 Anderson St Ste 1800
Loma Linda, CA 92354-3450
Phone (909) 558-2154

Other practice location 5

9235 Sherrills Ford Rd
Terrell, NC 28682
Phone (828) 322-2050 ext. 6730

Other practice location 6

48 Boone Trl
North Wilkesboro, NC 28659-3515
Phone (828) 322-2050 ext. 6730

Other practice location 7

2060 Hickory Blvd SW
Lenoir, NC 28645-6459
Phone (828) 322-2050 ext. 6730

Other practice location 8

195 Fairfield Ave Ste 4B
West Caldwell, NJ 07006-6419
Phone (732) 228-4990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240318001801 NJ Practitioner - Ophthalmology 1052758786 Reassigns benefits to 1 organization
I20250610003287 CA Practitioner - Ophthalmology 1052758786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11370 Anderson St
Loma Linda, CA 92354-3450

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone (951) 486-4000

4244 Riverwalk Pkwy
Suite 100
Riverside, CA 92505-3372
Phone (909) 558-2154

81 Highland Springs Ave
Beaumont, CA 92223-3170
Phone (909) 558-4000

8599 Haven Ave
Suite 102And210
Rancho Cucamonga, CA 91730-4849
Phone (909) 558-2806

File Number
Suite 54701
Los Angeles, CA 90074-4701

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Faculty Physicians and Surgeons of Llusm Current Accepting new patients
Faculty Physicians and Surgeons of Llusm Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
Faculty Physicians and Surgeons of Llusm CurrentSince Jul 1, 2025 Accepting new patients
Eye Centers of America, LLC Ophthalmology CurrentSince Apr 1, 2024 Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients

Locations

81 Highland Springs Ave
Ste 103
Beaumont, CA 92223
Phone (909) 558-2830

11370 Anderson St
#1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
Ste 1800
Loma Linda, CA 92354
Phone (909) 558-2154

11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848

File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300

26520 Cactus Ave
Ste 2021
Moreno Valley, CA 92555
Phone (951) 486-5700

2195 Club Center Dr
Ste A
Sn Bernrdno, CA 92408
Phone (909) 835-1750

1255 Broad St
Ste 104
Bloomfield, NJ 07003
Phone (973) 707-5632

213 Park St
Montclair, NJ 07042
Phone (973) 220-7612

1 Corporate Dr
Wayne, NJ 07470
Phone (973) 987-3380

195 Fairfield Ave
Ste 4B
West Caldwell, NJ 07006
Phone (973) 228-4990

Interoperability endpoints

  • Direct secure messaging: pshah1257614@direct.llu.edu

Organizations & group practices 5

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 2

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1104387075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3445",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286033445",
            "telephone_number": "828-322-2050",
            "fax_number": "828-345-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 CENTURY PL SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024031",
            "telephone_number": "828-322-2050",
            "fax_number": "828-345-0522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2311 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lincolnton",
            "state": "NC",
            "postal_code": "280924103",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6730",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2415 Century Pl SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286024006",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6730",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2640 Highway 105 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Boone",
            "state": "NC",
            "postal_code": "286077828",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6730",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11370 Anderson St Ste 1800",
            "address_purpose": "LOCATION",
            "city": "Loma Linda",
            "state": "CA",
            "postal_code": "923543450",
            "country_code": "US",
            "telephone_number": "909-558-2154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9235 Sherrills Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Terrell",
            "state": "NC",
            "postal_code": "28682",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6730",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "48 Boone Trl",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593515",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6730",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2060 Hickory Blvd SW",
            "address_purpose": "LOCATION",
            "city": "Lenoir",
            "state": "NC",
            "postal_code": "286456459",
            "country_code": "US",
            "telephone_number": "828-322-2050 x6730",
            "fax_number": "828-345-0522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 Fairfield Ave Ste 4B",
            "address_purpose": "LOCATION",
            "city": "West Caldwell",
            "state": "NJ",
            "postal_code": "070066419",
            "country_code": "US",
            "telephone_number": "732-228-4990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIYAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A200796",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NJ",
            "license": "25MA12048700",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "2026-4560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.