NPIMap

Individual provider Active NPI

Sanket Shah, MD

  • Ophthalmology Physician
  • Fresno, CA
National Provider Identifier
1396137865
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A185699 Issued in CA
Practice address
1360 E Herndon Ave Ste 201
Fresno, CA 93720-3326
Phone
(559) 449-5050
Fax
(559) 432-2632
NPI assigned
Feb 20, 2015
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 54051 KY
Ophthalmology Physician 207W00000X A185699 CA Primary

Addresses

Primary practice location

1360 E Herndon Ave Ste 201
Fresno, CA 93720-3326

Mailing address

1360 E Herndon Ave Ste 201
Fresno, CA 93720-3326
Phone (594) 495-0505

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
I20231003001044 CA Practitioner - Ophthalmology 3779902648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Insight Vision Center Medical Group IncGroup PAC ID 1052219409, 10 clinicians

Practice addresses (Care Compare)

1275 E Spruce Ave
Suite 101
Fresno, CA 93720-3372
Phone (559) 449-5050

1360 E Herndon Ave
Suite 201
Fresno, CA 93720-3326
Phone (559) 449-5050

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185699CAMDOphthalmology Physician
54051KYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Insight Vision Center Medical Group, Inc. Ophthalmology CurrentSince Aug 8, 2023 Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Eye Medical Clinic of Fresno, Inc Ophthalmology Past Accepting new patients
Family Healthcare Network Past Accepting new patients
University Eye Associates Ophthalmology Past Accepting new patients
Valley Children's Hospital Past Accepting new patients

Locations

1360 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 449-5049

7015 N Chestnut Ave
Ste 101
Fresno, CA 93720
Phone (559) 326-1010

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sanket.shah.1@17661.direct.athenahealth.com
  • Direct secure messaging: sanket.shah.p2@direct.californiaeye.nextgenshare.com
  • Direct secure messaging: sshah2969162@direct.trinity-health.org
  • Direct secure messaging: sshah80605@valleychildrens-prd.direct-ci.com

Organizations & group practices 10

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 1

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": "1424390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1396137865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "594-495-0505",
            "fax_number": "559-432-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E HERNDON AVE STE 201",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203326",
            "telephone_number": "559-449-5050",
            "fax_number": "559-432-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SANKET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-20",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "54051",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A185699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.