Individual provider Active NPI

Nikita Parag Shah, DO

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1407485402
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20A21220 Issued in CA
Practice address
2799 Gateway Dr
Riverside, CA 92507-0908
Phone
(833) 450-5967
Fax
(951) 444-5224
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1018196 MA
Internal Medicine Physician 207R00000X 20A21220 CA Primary

Addresses

Primary practice location

2799 Gateway Dr
Riverside, CA 92507-0908

Mailing address

2799 Gateway Dr
Riverside, CA 92507-0908
Phone (833) 450-5967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240205003462 CA Practitioner - Internal Medicine 4486097623 Reassigns benefits to 5 organizations
I20240726002908 MA Practitioner - Internal Medicine 4486097623 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21220CAMDClinical Psychologist
20A21220CAMDInternal Medicine Physician
1018196MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Partners Affiliates Medical Group CurrentSince Dec 24, 2023 Accepting new patients
Beaver Medical Group P C CurrentSince Apr 19, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Internal Medicine CurrentSince Aug 1, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 1, 2024 Accepting new patients
Saddleback Medical Group Inc CurrentSince Apr 19, 2024 Accepting new patients
Beaver Medical Group P C Internal Medicine CurrentSince Apr 19, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group Internal Medicine CurrentSince Dec 24, 2023 Accepting new patients
Centers for Family Medicine GP Internal Medicine CurrentSince Apr 19, 2024 Accepting new patients
Pinnacle Medical Group, Inc Internal Medicine CurrentSince Apr 19, 2024 Accepting new patients
Cassidy Medical Group Inc. Current Accepting new patients
Pinnacle Medical Group, Inc Internal Medicine CurrentSince Apr 19, 2024 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Past Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

24221 Calle de la Louisa
Ste 400
Laguna Hills, CA 92653
Phone (949) 465-8155

24221 Calle de la Louisa
Ste 200
Laguna Hills, CA 92653
Phone (949) 465-8155

4910 Airport Plaza Dr
Ste 210
Long Beach, CA 90815
Phone (562) 421-3727

3460 Katella Ave
Los Alamitos, CA 90720
Phone (310) 594-6599

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

299 W Foothill Blvd
Ste 209
Upland, CA 91786
Phone 9099824000 ext. 222

145 Thunder Dr
Vista, CA 92083
Phone (760) 630-5487

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

Interoperability endpoints

  • Direct secure messaging: nshah442216@direct.bilh.masshiway.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1407485402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2799 GATEWAY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070908",
            "telephone_number": "833-450-5967",
            "fax_number": "951-444-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 GATEWAY DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070908",
            "telephone_number": "833-450-5967",
            "fax_number": "951-444-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "NIKITA",
        "middle_name": "PARAG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "1018196",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A21220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.