Active NPI
Selina Shah, MD
- Sports Medicine (Internal Medicine) Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Internal Medicine) Physician
- License
- A83067
- Practice address
- 2255 Ygnacio Valley Rd Ste V
Walnut Creek, CA 94598-3343 - Phone
- (925) 979-5327
- Fax
- (925) 357-3199
- NPI assigned
- Dec 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Internal Medicine) Physician | 207RS0010X | A83067 | CA | Primary |
Addresses
Primary practice location
2255 Ygnacio Valley Rd Ste V
Walnut Creek, CA 94598-3343
Mailing address
2255 Ygnacio Valley Rd Ste V
Walnut Creek, CA 94598-3343
Phone (925) 979-5327
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A83067 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Vanderbilt University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330
2255 Ygnacio Valley Rd
Walnut Creek, CA 94598-3343
Hospital & facility affiliations
- John Muir Medical Center - Walnut Creek Campus
- UCSF Health Saint Francis Hospital
- John Muir Medical Center - Concord Campus
- Alta Bates Summit Medical Center - Alta Bates Camp
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.98 of 100
- Quality
- 80.39
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A83067 | CA | MD | Sports Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Current | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225
2255 Ygnacio Valley Rd
Ste V
Walnut Creek, CA 94598
Phone (925) 448-2610
365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424
2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sshah112617@ehr.johnmuirhealth.com
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 and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Walnut Creek, CA
- NPI 1174253405
-
- Orthopaedic Surgery Physician
- Castro Valley, CA
- NPI 1093181646
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1467329904
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1316061997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1205995958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 YGNACIO VALLEY RD STE V",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983343",
"telephone_number": "925-979-5327",
"fax_number": "925-357-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 YGNACIO VALLEY RD STE V",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983343",
"telephone_number": "925-979-5327",
"fax_number": "925-357-3199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SELINA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": "CA",
"license": "A83067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A83067",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.