Roma Hitesh Shah, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

20A20060 Issued in CA

Practice address

801 Brewster Ave Ste 175
Redwood City, CA 94063-1559

Phone

(650) 216-7794

NPI assigned

Apr 4, 2019

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rshah254011@direct-ucsfmedicalcenter.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.

• UCSF Health Medical Foundation

  dba Baychildren's Physicians

  • Pediatrics Physician
  • Emeryville, CA
  • NPI 1043628316
  Medicare reassignment NPD

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1164984480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE STE 175",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BREWSTER AVE STE 175",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631559",
            "telephone_number": "650-216-7794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "ROMA",
        "middle_name": "HITESH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-04",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A20060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisbette Sevilla Raygoza
• Lisa Shaanan
• Medina Shah, ASW
• Nehal M Shah, DMD
• Radhika Shah
• Sangita N. Shah, MD
• Varun B Shah
• Bita Shahrvini, MD
• Steven Shak, M.D
• Marjan Shakib-Saffari, DC

• Pediatrics Physician in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.