NPIMap

Individual provider Active NPI

Neel Shah, M.D.

  • Internal Medicine Physician
  • Tracy, CA
National Provider Identifier
1194056796
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A111694 Issued in CA
Practice address
1470 Bessie Ave
Tracy, CA 95376-3417
Phone
(209) 833-0525
Fax
(209) 830-7361
NPI assigned
Jan 20, 2010
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A111694 CA Primary

Addresses

Primary practice location

1470 Bessie Ave
Tracy, CA 95376-3417

Mailing address

1470 Bessie Ave
Tracy, CA 95376-3417
Phone (209) 833-0525

Other practice location 1

531 W Yosemite Ave
Manteca, CA 95337-5500
Phone (209) 833-0525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000801 CA Practitioner - Internal Medicine 8426173717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premiercare Physicians a California General PartnershipGroup PAC ID 5799113031, 5 clinicians

Practice addresses (Care Compare)

1470 Bessie Ave
Tracy, CA 95376-3417
Phone (209) 883-0525

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A111694CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premiercare Physicians a California General Partnership CurrentSince Jan 1, 2020 Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Mills-Peninsula Health Services Past Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients

Locations

1144 Norman Dr
Ste 204
Manteca, CA 95336
Phone (209) 665-4252

531 W Yosemite Ave
Manteca, CA 95337
Phone (209) 833-0525

1470 Bessie Ave
Tracy, CA 95376
Phone (209) 833-0525

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nshah53955@hisp.ehr.sutterhealth.org
  • Direct secure messaging: nshah92675@hpmg.direct-ci.net

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Amore Hospice IncOakland, CA, CCN B21732 Hospice 5% Or Greater Indirect Ownership Interest (7.5%) Sep 28, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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

Hospital & facility affiliations 11

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1194056796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763417",
            "telephone_number": "209-833-0525",
            "fax_number": "209-830-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 BESSIE AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763417",
            "telephone_number": "209-833-0525",
            "fax_number": "209-830-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "531 W Yosemite Ave",
            "address_purpose": "LOCATION",
            "city": "Manteca",
            "state": "CA",
            "postal_code": "953375500",
            "country_code": "US",
            "telephone_number": "209-833-0525",
            "fax_number": "209-830-7361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NEEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-20",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A111694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.