Individual provider Active NPI

Priya Khanijou Shah, M.D.

  • Internal Medicine Physician
  • Orange, CA
National Provider Identifier
1316129109
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A98798 Issued in CA
Practice address
725 W la Veta Ave
Suite 220
Orange, CA 92868-4403
Phone
(714) 771-5700
Fax
(714) 771-9979
NPI assigned
Dec 3, 2007
Last updated
Feb 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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 A98798 CA Primary

Addresses

Primary practice location

725 W la Veta Ave
Suite 220
Orange, CA 92868-4403

Mailing address

725 W la Veta Ave
Suite 220
Orange, CA 92868-4403
Phone (714) 771-5700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080804000357 CA Practitioner - EndocrinologyPractitioner - Family PracticePractitioner - Internal Medicine 2769556190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
EndocrinologyAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endocrinology Medical Group of Orange County IncGroup PAC ID 6103915301, 2 clinicians

Practice addresses (Care Compare)

725 W la Veta Ave
Suite 220
Orange, CA 92868-4446
Phone (714) 771-5700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.14 of 100Reported as group
Quality
79.17
Promoting interoperability
73
Improvement activities
40
Cost
70.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A98798CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrinology Medical Group of Orange County Inc CurrentSince Oct 19, 2013 Accepting new patients
St. Joseph Hospital Past Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients

Locations

725 W La Veta Ave
Ste 220
Orange, CA 92868
Phone (714) 771-5700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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 3

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": "1196640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1316129109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE",
            "address_2": "SUITE 220",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684403",
            "telephone_number": "714-771-5700",
            "fax_number": "714-771-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 W LA VETA AVE",
            "address_2": "SUITE 220",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684403",
            "telephone_number": "714-771-5700",
            "fax_number": "714-771-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PRIYA",
        "middle_name": "KHANIJOU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-03",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A98798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.