Individual provider Active NPI

Kathan Dipak Shah, DPM

  • Podiatrist
  • Visalia, CA
National Provider Identifier
1508363102
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TBD Issued in CA
Practice address
116 N Akers St
Visalia, CA 93291-5121
Phone
(559) 636-3668
Fax
(559) 636-3668
NPI assigned
Apr 10, 2018
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TBD CA Primary

Addresses

Primary practice location

116 N Akers St
Visalia, CA 93291-5121

Mailing address

116 N Akers St
Visalia, CA 93291-5121
Phone (559) 636-3668

Other practice location 1

833 Sequoia Ave
Lindsay, CA 93247-1424
Phone (559) 562-1361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190815002922 CA Practitioner - Podiatry 7911234729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

840 S Akers St
Visalia, CA 93277-8309
Phone (559) 624-3741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.41 of 100Reported as group
Quality
74.81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of skin lesions24
Removal of nail tissue711
Removal or shaving of skin growth673

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TBDCAMDFamily Medicine Physician
6884CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kathan Shah DPM Professional Corporation Podiatrist Current Accepting new patients
Central Valley Foot and Ankle Inc Podiatrist CurrentSince Jun 15, 2021 Accepting new patients
Convalescent Podiatry Care Podiatrist Past Accepting new patients
Erick Madrigal, MD, Mba, Inc. Past Accepting new patients
Erick Madrigal, MD, Mba, Inc. Past Accepting new patients
James F Eggold Podiatrist Past Accepting new patients

Locations

560 W Putnam Ave
Ste 3
Porterville, CA 93257
Phone (559) 636-3668

116 N Akers St
Visalia, CA 93291
Phone (559) 636-3668

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Interoperability endpoints

  • Direct secure messaging: kathan.shah.1@6501.direct.athenahealth.com
  • Direct secure messaging: kathan.shah.p1@direct.ariachc.nextgenshare.com
  • Direct secure messaging: kshah@cvfa.emadirect.md

Organizations & group practices 6

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 2

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": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1508363102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-636-3668",
            "fax_number": "559-636-3665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-636-3668",
            "fax_number": "559-636-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Sequoia Ave",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "CA",
            "postal_code": "932471424",
            "country_code": "US",
            "telephone_number": "559-562-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KATHAN",
        "middle_name": "DIPAK",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-10",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.