NPIMap

Individual provider Active NPI

Samir Hemendra Shah, M.D.

  • Diagnostic Radiology Physician
  • Orange, CA
National Provider Identifier
1346477916
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A146967 Issued in CA
Practice address
431 S Batavia St
Ste 103
Orange, CA 92868-3936
Phone
(714) 571-5000
Fax
(714) 571-5055
NPI assigned
Jun 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 456943 WA
Diagnostic Radiology Physician 2085R0202X A146967 CA Primary

Addresses

Primary practice location

431 S Batavia St
Ste 103
Orange, CA 92868-3936

Mailing address

PO Box 14005
Orange, CA 92863-1405
Phone (714) 571-5000

Other identifiers 3

IdentifierTypeStateIssuer
341466OtherWALNI
341461OtherWALNI
MD60456943OtherWAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170615002413 CA Practitioner - Diagnostic Radiology 2567686959 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moran Rowen and Dorsey IncGroup PAC ID 9537063375, 35 clinicians

Practice addresses (Care Compare)

431 S Batavia St
103 Apex Imaging by MRD
Orange, CA 92868-3906
Phone (714) 538-6731

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.56 of 100Reported as group
Quality
85.63
Improvement activities
40
Cost
74.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146967CAMDDiagnostic Radiology Physician
456943WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samir H. Shah MD, a Medical Corporation Diagnostic Radiology Current Accepting new patients
Moran Rowen and Dorsey Inc Diagnostic Radiology CurrentSince Aug 1, 2017 Accepting new patients
Orange County Heart Institute and Research Center a Medical Group CurrentSince Apr 9, 2023 Accepting new patients
North Oc Imaging JV, LLC CurrentSince Dec 6, 2022 Accepting new patients
St Joseph Hospital of Orange Past Accepting new patients
Jeffrey M. Shapiro, MD, Inc PastSince Apr 9, 2023 Accepting new patients
Tyson C. Cobb, M.D., Inc PastSince Oct 13, 2008 Accepting new patients

Locations

13400 Jamboree Rd
Irvine, CA 92602
Phone (714) 263-9279

1140 W La Veta Ave
Ste 640
Orange, CA 92868
Phone (714) 543-6054

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

431 S Batavia St
Ste 103
Orange, CA 92868
Phone (714) 538-6731

845 W La Veta Ave
Ste 105
Orange, CA 92868
Phone (714) 289-6565

1140 W La Veta Ave
Ste 615
Orange, CA 92868
Phone (714) 543-8555

Organizations & group practices 7

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 4

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": "1245628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1346477916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14005",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928631405",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 S BATAVIA ST",
            "address_2": "STE 103",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683936",
            "telephone_number": "714-571-5000",
            "fax_number": "714-571-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SAMIR",
        "middle_name": "HEMENDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-22",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "456943",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A146967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "341466",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI",
            "identifier": "341461",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60456943",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.