Active NPI
Nihita Pravin Shah
- Family Medicine Physician
- Tracy, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- C134456
- Practice address
- 445 W Eaton Ave
Tracy, CA 95376-3420 - Phone
- (098) 320-5352
- NPI assigned
- Jan 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10030091 | TX | |
| Family Medicine Physician | 207Q00000X | C134456 | CA | Primary |
Addresses
Primary practice location
445 W Eaton Ave
Tracy, CA 95376-3420
Mailing address
PO Box 255228
Sacramento, CA 95865-5228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2800 L St
Sacramento, CA 95816-5616
441 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062
445 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 524-1211
447 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 830-4062
473 W Eaton Ave
Tracy, CA 95376-3420
Phone (209) 833-3320
815 Court St
Jackson, CA 95642-2154
Hospital & facility affiliations
- Sutter Care at Home
- Sutter Tracy Community Hospital
- Memorial Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C134456 | CA | MD | Family Medicine Physician |
| BP10030091 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Baylor College of Medicine | Current | Accepting new patients | |
| Baylor College of Medicine | Family Medicine | Current | Accepting new patients |
| Sutter Valley Medical Foundation | Family Medicine | Current | Accepting new patients |
| Sutter North Medical Foundation | Past | Accepting new patients | |
| Harris County Hospital District | Past | Accepting new patients |
Locations
2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731
815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
445 W Eaton Ave
Tracy, CA 95376
Phone (209) 830-4062
2 Greenway Plz
Ste 800
Houston, TX 77046
1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860
927 Shaw Ave
Pasadena, TX 77506
Phone (713) 982-5168
Interoperability endpoints
- nshah685772@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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Modesto, CA
- NPI 1669846986
Family Medicine
-
- Family Medicine Physician
- Houston, TX
- NPI 1053352914
-
- Durable Medical Equipment & Medical Supplies
- Tracy, CA
- NPI 1720930712
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952327256
Family Medicine
-
- Internal Medicine Physician
- Houston, TX
- NPI 1104867175
-
- Ambulatory Surgical Clinic/Center
- Yuba City, CA
- NPI 1144251521
-
- General Acute Care Hospital
- Houston, TX
- NPI 1205900370
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
-
- General Acute Care Hospital
- Tracy, CA
- NPI 1821442864
-
- Home Health Agency
- Salida, CA
- NPI 1972876506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1578700340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 255228",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958655228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 W EATON AVE",
"city": "TRACY",
"state": "CA",
"postal_code": "953763420",
"telephone_number": "098-320-5352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "NIHITA",
"middle_name": "PRAVIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-14",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "BP10030091",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C134456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.