Active NPI
Nihar U Shah, MD
- Gastroenterology Physician
- Berkeley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 989517
- Practice address
- 2850 Telegraph Ave
Berkeley, CA 94705 - Phone
- (510) 204-8120
- Fax
- (510) 506-7721
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hepatology Physician | 207RI0008X | A133210 | CA | |
| Gastroenterology Physician | 207RG0100X | 989517 | CA | Primary |
Addresses
Primary practice location
2850 Telegraph Ave
Berkeley, CA 94705
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 204-8120
Other practice location 1
530 S Jackson St
Gastroenterology/Hepatology
Louisville, KY 40202-1675
Phone (502) 588-4600
Other practice location 2
12 Camino Encinas
Orinda, CA 94563-3304
Phone (510) 204-8189
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A133210 | Other | CA | STATE 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
- Gastroenterology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2450 Ashby Ave
Berkeley, CA 94705-2067
Phone (510) 204-4444
2850 Telegraph Ave
Berkeley, CA 94705-1159
3200 Kearney St
Fremont, CA 94538-2299
Phone (510) 490-1222
350 Hawthorne Ave
Oakland, CA 94609-3108
Phone (510) 655-4000
795 El Camino Real
Palo Alto, CA 94301-2302
Phone (415) 600-1020
Hospital & facility affiliations
- Alta Bates Summit Medical Center
- Alta Bates Summit Medical Center - Alta Bates Camp
- California Pacific Medical Center- Van Ness Campus
- Eden Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 38 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 989517 | CA | MD | Gastroenterology Physician |
| A133210 | CA | MD | Hepatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Geisinger Medical Center | Past | Accepting new patients | |
| University Medical Center, Inc | Past | Accepting new patients | |
| Uofl Health-Louisville Inc | Past | Accepting new patients | |
| Geisinger Health System | Past | Accepting new patients | |
| Community Medical Center | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Alta Bates Summit Medical Center | Past | Accepting new patients | |
| Geisinger Bloomsburg Hospital | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients |
Locations
2850 Telegraph Ave
Ste 130
Berkeley, CA 94705
Phone (510) 204-8110
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
12 Camino Encinas
Orinda, CA 94563
Phone (510) 204-8180
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
795 El Camino Real
#1112
Palo Alto, CA 94301
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
1551 Bishop St
Ste 110
Sn Luis Obisp, CA 93401
Phone (805) 548-8585
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- nshah463123@hisp.ehr.sutterhealth.org
Organizations & group practices 12
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1043358542
-
- Rehabilitation Hospital Unit
- Oakland, CA
- NPI 1194171371
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
-
- Skilled Nursing Facility
- Scranton, PA
- NPI 1063475119
-
- General Acute Care Hospital
- Bloomsburg, PA
- NPI 1821198755
-
- General Acute Care Hospital
- Wilkes Barre, PA
- NPI 1952392573
-
- Psychiatric Hospital Unit
- Danville, PA
- NPI 1144301102
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1861554438
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1639711294
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Castro Valley, CA
- NPI 1063812907
-
- General Acute Care Hospital
- Oakland, CA
- NPI 1295181477
-
- General Acute Care Hospital
- Berkeley, CA
- NPI 1639523004
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1740348929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1285998609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "510-204-8120",
"fax_number": "510-506-7721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "94705",
"telephone_number": "510-204-8120",
"fax_number": "510-506-7721"
}
],
"practiceLocations": [
{
"address_1": "530 S Jackson St",
"address_2": "Gastroenterology/Hepatology",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021675",
"country_code": "US",
"telephone_number": "502-588-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12 Camino Encinas",
"address_purpose": "LOCATION",
"city": "Orinda",
"state": "CA",
"postal_code": "945633304",
"country_code": "US",
"telephone_number": "510-204-8189",
"fax_number": "510-506-3516",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAH",
"first_name": "NIHAR",
"middle_name": "U",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-29",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "CA",
"license": "A133210",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "989517",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A133210",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.