NPIMap

Individual provider Active NPI

Jaykumar H Shah, M.D.

  • Internal Medicine Physician
  • Arcadia, CA
National Provider Identifier
1376514661
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A42091 Issued in CA
Practice address
623 W Duarte Rd
# 7
Arcadia, CA 91007-7330
Phone
(626) 446-4404
Fax
(626) 446-0599
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 A42091 CA Primary

Addresses

Primary practice location

623 W Duarte Rd
# 7
Arcadia, CA 91007-7330

Mailing address

623 W Duarte Rd
#7
Arcadia, CA 91007-7350
Phone (626) 446-4404

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
I20101014000542 CA Practitioner - Internal Medicine 0840482402 Reassigns benefits to 1 organization
Practice locations: Arcadia, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

623 W Duarte Rd
Suite 7
Arcadia, CA 91007-7350
Phone (626) 446-4404

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jaykumar H. Shah, MD, a Professional Corporation CurrentSince Dec 27, 2012 Accepting new patients
Usc Arcadia Hospital Past Accepting new patients

Locations

623 W Duarte Rd
Ste 7
Arcadia, CA 91007
Phone (626) 446-2733

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jaykumar.shah.p92@direct.healthcarepartners.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baldwin Gardens Nursing CenterTemple City, CA, CCN 555055 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Mar 13, 2020
Mar 13, 2020
Pacific Home Health Care IncSan Gabriel, CA, CCN 058395 Home health agency Contracted Managing Employee May 1, 2009
In the Arms of Grace Hospice Inc.Los Angeles, CA, CCN 551791 Hospice Corporate Director May 26, 2022
Journey Palliative and Hospice Inc.Burbank, CA, CCN B41664 Hospice Contracted Managing Employee Mar 17, 2026

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376514661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 W DUARTE RD",
            "address_2": "#7",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077350",
            "telephone_number": "626-446-4404",
            "fax_number": "626-446-0599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W DUARTE RD",
            "address_2": "# 7",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077330",
            "telephone_number": "626-446-4404",
            "fax_number": "626-446-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "JAYKUMAR",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A42091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.