Sanket S Shah, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

60707 Issued in CA

Practice address

3400 Douglas Blvd Ste 225
Roseville, CA 95661-4283

Phone

(916) 740-3721

NPI assigned

May 29, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: telemed2u.sanketshah@160918.advancedmd-direct.com

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.

• Telehealth Specialty Medical Group

  • Emergency Medicine Physician
  • Roseville, CA
  • NPI 1326338237
  Medicare reassignment
• Houston Pulmonary and Sleep Associates, PLLC

  • Pulmonary Disease Physician
  • Houston, TX
  • NPI 1740625789
  Medicare reassignment
• Tele-Medicine Services Ny, PLLC

  • Internal Medicine Physician
  • Roseville, CA
  • NPI 1609663780
  NPD (past)

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1255778353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DOUGLAS BLVD STE 225",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614283",
            "telephone_number": "916-740-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 DOUGLAS BLVD STE 225",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614283",
            "telephone_number": "916-740-3721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9539 Huffmeister Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770952856",
            "country_code": "US",
            "telephone_number": "832-593-8100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANKET",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-29",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07006",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "60707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Said Shaari, DDS
• Benjamin D Shadle, M.D.
• Mansi Shah, M.D.
• Nandi Mukesh Shah, M.D.
• Sabrina Shah
• Kavian Shahi, M.D., PH.D.
• Shahzad Anwar MD Inc
• Najeeba Mohamedraeesh Shaikh
• Maryam Shams, MD
• Xiyan Shao, SWT BA QMHS CMS

• Medical Physician Assistant in Roseville, CA
• Providers in Roseville, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.