Individual provider Active NPI

Shaily Dinesh Shah, M.D.

  • Ophthalmology Physician
  • Walnut Creek, CA
National Provider Identifier
1518386663
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A170934 Issued in CA
Practice address
365 Lennon LN Ste 210
Walnut Creek, CA 94598-5912
Phone
(925) 947-0888
Fax
(925) 947-4385
NPI assigned
Apr 15, 2014
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 293667 NY
Ophthalmology Physician 207W00000X A170934 CA Primary

Addresses

Primary practice location

365 Lennon LN Ste 210
Walnut Creek, CA 94598-5912

Mailing address

365 Lennon LN Ste 210
Walnut Creek, CA 94598-5912
Phone (925) 947-0888

Other practice location 1

3300 Webster St Ste 608
Oakland, CA 94609-3101
Phone (510) 444-0603

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201221001880 CA Practitioner - Ophthalmology 6305194507 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern California Cornea Associates IncGroup PAC ID 9830190511, 6 clinicians

Practice addresses (Care Compare)

365 Lennon LN
Suite 210
Walnut Creek, CA 94598-5912
Phone (925) 947-0888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery214

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170934CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Apr 30, 2021 Accepting new patients
Alameda Health System CurrentSince Apr 30, 2021 Accepting new patients
Alameda Health System Current Accepting new patients
Northern California Cornea Associates Inc Ophthalmology CurrentSince Jan 4, 2021 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Alameda Health System Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

3300 Webster St
Ste 608
Oakland, CA 94609
Phone (510) 444-0603

365 Lennon Ln
Ste 210
Walnut Creek, CA 94598
Phone (925) 944-1100

Interoperability endpoints

  • Direct secure messaging: sshah567300@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1518386663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985912",
            "telephone_number": "925-947-0888",
            "fax_number": "925-947-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN STE 210",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985912",
            "telephone_number": "925-947-0888",
            "fax_number": "925-947-4385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3300 Webster St Ste 608",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093101",
            "country_code": "US",
            "telephone_number": "510-444-0603",
            "fax_number": "510-444-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "SHAILY",
        "middle_name": "DINESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-15",
        "last_updated": "2023-03-15",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "293667",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A170934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.