Shelly Domadia Saha, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

S7328 Issued in TX

Practice address

6451 Brentwood Stair Rd Ste 200
Fort Worth, TX 76112-3200

Phone

(817) 496-9700

NPI assigned

Apr 10, 2018

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

Other names 1

• Shelly Domadia Saha Professional name

Medicare fee-for-service enrollment

Enrolled in TX, 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

Specialty

Emergency Medicine

Education

University of Southern California Keck School of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians Associates Fremont PCGroup PAC ID 8527303585, 32 clinicians

Emergency Physicians Associates San Jose PCGroup PAC ID 8921344292, 131 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Washington Hospital Hospital, Fremont, CA, CCN 050195
• Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score

77.6 of 100Reported as individual

Quality

81.55

Improvement activities

0

Cost

75.84

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ssaha81211@direct.phhs.org
• Direct secure messaging: ssaha184235@santaclaravalley.direct-ci.net

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.

• Emergency Physicians Associates Fremont PC

  • Emergency Medicine Physician
  • Fremont, CA
  • NPI 1790250967
  Medicare reassignment Care Compare group NPD
• Emergency Physicians Associates San Jose PC

  • Emergency Medicine Physician
  • San Jose, CA
  • NPI 1306311576
  Medicare reassignment Care Compare group NPD
• Century Integrated Partners, Inc

  • Emergency Medicine Physician
  • Dallas, TX
  • NPI 1447615711
  Medicare reassignment NPD
• Citydoc Urgent Care Center 2, PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1003044942
  Medicare reassignment NPD
• Texas Medicine Resources, LLP

  • Emergency Medicine Physician
  • Fort Worth, TX
  • NPI 1376581900
  Medicare reassignment NPD
• Washington Township Medical Foundation

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1346557014
  Medicare reassignment
• Washington Township Medical Foundation

  dba Washington Health Urgent Care

  • Urgent Care Clinic/Center
  • Fremont, CA
  • NPI 1669360681
  NPD
• Paul Phillips III, M.D., P.a.

  dba Phillips Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Fredericksburg, TX
  • NPI 1477045151
  NPD (past)
• Reclaim Physicians Medical Group Inc

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1811418023
  NPD (past)
• Washington Township Medical Group

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1174675417
  NPD (past)

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

• County of Santa Clara

  dba Inpatient Acute/Outpatient Facility Services

  • General Acute Care Hospital
  • San Jose, CA
  • NPI 1063406551
  Care Compare affiliation
• Washington Township Hospital District

  dba Washington Hospital

  • General Acute Care Hospital
  • Fremont, CA
  • NPI 1780614685
  Care Compare affiliation

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625443200000",
    "number": "1225535891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 BRENTWOOD STAIR RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 BRENTWOOD STAIR RD STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761123200",
            "telephone_number": "817-496-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHA",
        "first_name": "SHELLY",
        "middle_name": "DOMADIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2021-07-05",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "S7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "SAHA",
            "middle_name": "DOMADIA",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Valerie Hope Saffold
• William Sage
• McKara Sagiao, OT
• Bronson Kahikinaakala Sagon, MS, LAT, ATC, LMT
• Manmohan Singh Sagoo, R.PH
• Sahara Gold Care LLC
• Jonathan W Sahawneh, MD
• Mouj M Saheb
• Ruqea Mahdi Saheb, DMD
• Sahil Transportation LLC

• Emergency Medicine Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2021; 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.