Individual provider Active NPI

Khushali Shah, MD, MPH

  • Cornea and External Diseases Specialist Physician
  • Fairfax, VA
National Provider Identifier
1699352856
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cornea and External Diseases Specialist PhysicianTaxonomy code 207WX0120X
License
0101289113 Issued in VA
Practice address
3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980
Phone
(571) 349-2191
Fax
(571) 349-2211
NPI assigned
Mar 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A202221 CA
Student in an Organized Health Care Education/Training Program 390200000X
Cornea and External Diseases Specialist Physician 207WX0120X 0101289113 VA Primary

Addresses

Primary practice location

3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980

Mailing address

3998 Fair Ridge Dr Ste 105
Fairfax, VA 22033-2980
Phone (571) 349-2191

Other practice location 1

1001 Potrero Avenue
Bldg. 5, 4M
San Francisco, CA 94110-3518
Phone (628) 206-8025

Other practice location 2

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 241-6500

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
I20250512002154 CA Practitioner - Ophthalmology 9335521533 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of California SFGH Medical GroupGroup PAC ID 5496668410, 566 clinicians
UCSF Medical Group Business ServicesGroup PAC ID 3779497870, 1,533 clinicians
Regents of the University of CaliforniaGroup PAC ID 4284547274, 706 clinicians

Practice addresses (Care Compare)

1001 Potrero Ave
San Francisco, CA 94110-3518

1001 Potrero Ave BLDG 80 Ward 83
Suite 32
San Francisco, CA 94110-3518
Phone (628) 206-8610

400 Parnassus Ave
San Francisco, CA 94143-2202

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-4029

Hospital & facility affiliations

  • UCSF Medical Center Hospital, San Francisco, CA, CCN 050454
  • Zuckerberg San Francisco General Hosp & Trauma Ctr Hospital, San Francisco, CA, CCN 050228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A202221CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince May 26, 2025 Accepting new patients
City & County of San Francisco CurrentSince Jul 14, 2025 Accepting new patients
City and County of San Francisco CurrentSince Jul 14, 2025 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco CurrentSince May 26, 2025 Accepting new patients
University of California SFGH Medical Group CurrentSince Jul 1, 2025 Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince May 26, 2025 Accepting new patients
Eye Specialists and Surgeons of Northern Virginia, LLC Ophthalmology CurrentSince Aug 6, 2026 Accepting new patients
City & County of San Francisco Current Accepting new patients
UCSF Medical Group Business Services CurrentSince May 26, 2025 Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jul 1, 2025 Accepting new patients
Regents of the University of California CurrentSince May 26, 2025 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3998 Fair Ridge Dr
Ste 105
Fairfax, VA 22033
Phone (571) 349-2191

7915 Lake Manassas Dr
Ste 210
Gainesville, VA 20155
Phone (571) 349-2191

Interoperability endpoints

  • Direct secure messaging: kshah422435@direct-ucsfmedicalcenter.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1699352856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332980",
            "telephone_number": "571-349-2191",
            "fax_number": "571-349-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR STE 105",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332980",
            "telephone_number": "571-349-2191",
            "fax_number": "571-349-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Avenue",
            "address_2": "Bldg. 5, 4M",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "628-206-8025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-241-6500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "KHUSHALI",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-25",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A202221",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "VA",
            "license": "0101289113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.