NPIMap

Individual provider Active NPI

Amish J Shah, M.D.

  • Pulmonary Disease Physician
  • Walnut Creek, CA
National Provider Identifier
1376920884
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A151668 Issued in CA
Practice address
2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462
Phone
(925) 939-3050
Fax
(925) 939-3057
NPI assigned
May 5, 2015
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X A151668 CA
Pulmonary Disease Physician 207RP1001X A151668 CA Primary

Addresses

Primary practice location

2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462

Mailing address

2700 Ygnacio Valley Rd Ste 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

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
I20210622000496 CA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2163769761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Muir Pulmonary Critical CareGroup PAC ID 3476449943, 13 clinicians

Practice addresses (Care Compare)

2700 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.92
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
77.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A151668CAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muir Pulmonary Critical Care Critical Care Medicine CurrentSince Apr 1, 2024 Accepting new patients
Diablo Pulmonary Medical Group, Inc Pulmonary Disease CurrentSince Jul 1, 2021 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
John Muir Health Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2299 Bacon St
Ste 2
Concord, CA 94520
Phone (925) 676-2942

1399 Ygnacio Valley Rd
Ste 14
Walnut Creek, CA 94598
Phone (925) 934-4123

2700 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 939-3050

Interoperability endpoints

  • Direct secure messaging: ashah142371@ehr.johnmuirhealth.com

Organizations & group practices 5

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": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1376920884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983462",
            "telephone_number": "925-939-3050",
            "fax_number": "925-939-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 YGNACIO VALLEY RD STE 100",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983462",
            "telephone_number": "925-939-3050",
            "fax_number": "925-939-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "AMISH",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "A151668",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A151668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.